US5217478A - Arthroscopic surgical instrument drive system - Google Patents

Arthroscopic surgical instrument drive system Download PDF

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Publication number
US5217478A
US5217478A US07/016,140 US1614087A US5217478A US 5217478 A US5217478 A US 5217478A US 1614087 A US1614087 A US 1614087A US 5217478 A US5217478 A US 5217478A
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United States
Prior art keywords
handpiece
switch
motor
cutting blade
disposed
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US07/016,140
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Fred Rexroth
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Linvatec Corp
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Linvatec Corp
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Priority to US07/016,140 priority Critical patent/US5217478A/en
Assigned to CONCEPT, INC., 12707 US 19 SOUTH, CLEARWATER, 33546 A CORP. OF FL. reassignment CONCEPT, INC., 12707 US 19 SOUTH, CLEARWATER, 33546 A CORP. OF FL. ASSIGNMENT OF ASSIGNORS INTEREST. Assignors: REXROTH, FRED
Priority to US07/437,270 priority patent/US5269794A/en
Assigned to LINVATEC CORPORATION reassignment LINVATEC CORPORATION 12-26-1990 FL Assignors: CONCEPT, INC.
Application granted granted Critical
Publication of US5217478A publication Critical patent/US5217478A/en
Priority to US08/118,851 priority patent/US5632759A/en
Assigned to JPMORGAN CHASE BANK, AS ADMINISTRATIVE AGENT reassignment JPMORGAN CHASE BANK, AS ADMINISTRATIVE AGENT SECURITY INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: LINVATEC CORPORATION
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • A61B2017/00482Coupling with a code
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01HELECTRIC SWITCHES; RELAYS; SELECTORS; EMERGENCY PROTECTIVE DEVICES
    • H01H2300/00Orthogonal indexing scheme relating to electric switches, relays, selectors or emergency protective devices covered by H01H
    • H01H2300/014Application surgical instrument

Definitions

  • the present invention relates to surgical instruments and, more particularly, to instruments having rotatable motor-driven arthroscopic cutting blades capable of removing fibrous tissue lying between articulate surfaces in and around joints of the body.
  • the instrument of the present invention can be used to balance meniscal rims and to evacuate excised tissue.
  • a typical prior art arthroscopic surgical instrument is disclosed in U.S. Pat. Nos. 4,203,444 (Bonnell et al) and 4,274,414 (Johnson et al).
  • the disclosed instruments are elongated handpieces serving as a housing for a motor which rotatably drives a cutting blade projecting longitudinally from the forward end of the handpiece.
  • the blade is disposed in an apertured sheath or outer tube through which excised tissue material is aspirated via suction applied through the handpiece.
  • Controls for the motor i.e., on/off, speed control, etc.
  • Surgical instruments of the type described must be fabricated of material capable of withstanding autoclave temperatures (i.e., in excess of 270 degrees Fahrenheit) so that the instrument may be sterilized between surgical procedures. It is recognized in the prior art that cutting blades may be designed to be disposable (i.e., the blades are used for a single procedure and then discarded) so as to avoid the requirement of blade sterilization between procedures. However, the handpiece and the components housed therein must be repeatedly sterilized. On the other hand, the control console, which houses electrical circuitry and controls, is not required to be sterilized between uses. As a consequence, a surgeon cannot operate the console controls during a surgical procedure and must rely on an assistant to do so.
  • the adapters are coded for the desired speed range by means of one or more magnets at specified locations in the adapters. Reed switches in the handpiece ar actuated by respective magnets and transmit the speed range control code information to the console to establish the correct speed range. A manual control at the console permits selection of particular speeds within the established range.
  • the prior art approach has certain disadvantages.
  • the coded adapter is an additional part of the system which must be capable of withstanding autoclaving temperatures. Consequently, the adapter is relatively heavy and adds significantly to the overall weight of the handpiece. This adversely affects manipulability of the handpiece during surgical procedures. It is desirable, therefore, to provide for automatic speed range selection while eliminating the extra adapter part.
  • a further object of the invention is to provide a disposable cutting blade for a surgical instrument of the type described, which blade can be used with both the handpiece of the present invention and with the above-described prior art instruments having speed range adapters for connecting the blade to the handpiece.
  • a still further object of the present invention is to provide a surgical instrument of the type described wherein automatic setting of the optimal speed range for each disposable cutting blade is achieved by coding the disposable cutting blades themselves rather than by employing a separate coded and reusable adapter part for connecting the cutting blade to the handpiece.
  • an arthroscopic surgical instrument can be controlled from a switch cluster located proximate the forward end of a handpiece.
  • the switch cluster includes a plurality of pushbutton switches and is arrayed arcuately to correspond to the curvature of the handpiece periphery.
  • An arcuate printed circuit board is disposed within the handpiece and closely spaced from the switch cluster so that actuation of each switch bridges a corresponding pair of printed circuit contacts. Both the arcuate switch cluster and the arcuate printed circuit board are constructed to withstand autoclave temperatures to which the entire handpiece assembly is subjected when sterilized.
  • the small radius of curvature required for the printed circuit board renders the choice of material of paramount importance in order to prevent the board from becoming brittle when exposed to autoclaving temperatures.
  • the switch cluster includes four pushbuttons for: (1) controlling motor direction; (2) increasing motor speed; (3) decreasing motor speed; and (4) actuating and deactuating the motor (i.e., on/off).
  • switches (1), (2) and (3) are disposed proximate the forward end of the handpiece and are aligned along an arcuate path extending along the handpiece circumference.
  • the on/off switch (4) is disposed immediately longitudinally behind the other three switches and is elongated arcuately. The surgeon can actuate each of the switches using a single finger of the hand in which the handpiece is supported.
  • the arcuately elongated on/off switch permits the motor to be rapidly deactuated with minimal movement of the surgeon's actuation finger.
  • mutually interactive coding and decoding elements are disposed directly in the cutting blade and the handpiece, respectively.
  • magnets are disposed in the cutting blade and reed switches are disposed in the handpiece to effect automatic speed range control in a manner similar to the prior art described above; however, and importantly, control is effected without the need for an extra adapter part.
  • An advantage of the magnet and reed switch arrangement is that it permits the cutting blades to be usable with the handpiece of the present invention while also mechanically fitting into the adapter of the prior art handpiece.
  • cutting blade-handpiece coding arrangements may be employed, such as: mechanical projections on the cutting blade hubs positioned to actuate respective pressure-sealed switches in the handpiece; projections on the blade hubs blocking respective light paths in light-actuated circuits in the handpiece; etc. Whichever coding arrangement is used, the sensing components in the handpiece must be sealed so as not to be damaged during autoclaving.
  • FIG. 1 is a view in perspective of a control console and handpiece unit of a preferred embodiment of the present invention
  • FIG. 2 is a view in elevation of the front panel of the control console of FIG. 1;
  • FIG. 3 is a side view in elevation of the handpiece unit of FIG. 1;
  • FIG. 4 is a top view in plan of the handpiece unit of FIG. 3;
  • FIG. 5 is an end view in elevation of the handpiece unit of FIG. 3;
  • FIG. 6 is a view in longitudinal section taken along lines 6--6 of FIG. 5;
  • FIG. 6A is a view in transverse section taken along lines 6A--6A of FIG. 3;
  • FIG. 7 is a view of the rearward-facing surface of the locking ring secured to the handpiece unit as viewed along lines 7--7 of FIG. 6;
  • FIG. 8 is a view in section of the locking ring taken along lines 8--8 of FIG. 7;
  • FIG. 9 is an exploded side view in elevation and partial section of a cutting blade assembly employed in conjunction with the handpiece unit of FIG. 6;
  • FIG. 10 is a diagramatic illustration of the manner in which the speed range coding of a cutting blade is detected by the handpiece unit in accordance with the principles of the present invention.
  • FIG. 11 is a view in longitudinal section of a reed switch employed in the handpiece unit to detect magnetic speed range coding present in cutting blade assemblies inserted into the handpiece;
  • FIG. 12 is a top view in plan of the control switch cluster provided on the handpiece unit of the present invention.
  • FIG. 13 is a view in transverse section taken along lines 13--13 of FIG. 12 and showing three of the control switches provided as part of the control switch cluster;
  • FIG. 14 is a view in perspective of the printed circuit board employed as part of the switch cluster assembly in the handpiece;
  • FIG. 15 is a view in transverse section taken along lines 15--15 of FIG. 12 and showing a fourth switch provided as part of the handpiece switch cluster;
  • FIG. 16 is a view in section of the cutting blade assembly taken along lines 16--16 of FIG. 9;
  • FIG. 17 is a view similar to that of FIG. 16 for a different cutting blade assembly coded to have a different optimal operating speed than the cutting blade assembly illustrated in FIG. 16;
  • FIG. 18 is a detailed schematic diagram of the electronic components employed on the control board located in the control console;
  • FIG. 19 is a functional block diagram of the control board
  • FIG. 20 is a functional block diagram of the display board located in the control console
  • FIG. 21 is a detailed schematic diagram of the display board
  • FIG. 22 is a functional block diagram of the motor drive assembly located in the control console.
  • FIG. 23 is a detailed schematic diagram of the motor drive assembly.
  • a surgical instrument constructed according to the present invention includes a control console 10 electrically interconnected to a surgical handpiece 11 via a flexible drive unit cable 12.
  • Cable 12 terminates at one end in a plural-conductor connector (not shown) that is received in a receptacle (not shown) secured at the rear or side of console 10.
  • the other end of cable 12 terminates in an end cap 13 located at the proximal or rearward end of the handpiece 11.
  • a suction tube 14 that communicates with the handpiece interior and serves, in a conventional manner, to conduct fluid from the handpiece to a vacuum source (not shown).
  • a control valve is disposed in the suction line intermediate tube 14 and the vacuum source to provide control over the aspiration of fluid from the surgical site and through the handpiece interior.
  • a cutting blade 15 projects from a locking ring 16 disposed at the forward or distal end of the handpiece 11.
  • the handpiece is generally cylindrical and the cutting blade is oriented to project substantially coaxially along the central longitudinal axis of the locking ring 16.
  • a cluster 17 of control switches is disposed in an arcuate array proximate the forward end of the handpiece 11, the cluster being curved to correspond to the circumferential profile of the handpiece.
  • control console 10 has a front panel 20 with a number of controls and indicators. Specifically, a mains power switch 21 of the rocker type permits application and removal of primary power to and from the system.
  • Lighted switches 22 and 23 actuate the blade drive motor in the handpiece 11. If the continuous switch 22 is pressed and released, the drive motor rotates and the switch lights; if the switch is pressed and released again, the motor stops and the switch light is turned off. If the touch switch 23 is held depressed, the motor rotates and the switch lights; release of the switch stops the motor and turns off the switch light.
  • the blade rotation switches 24 and 25 control the rotation direction of the motor.
  • the motor changes rotation directions at pre-set intervals and the switch is lighted; the NORM switch 25 is unlighted.
  • the NORM switch 25 is pressed and released, the motor rotates in the direction selected at switch cluster 17 in the handpiece (as described below) and the switch is lighted; the OSC switch 26 remains unlighted.
  • the drive mode indicators 26, 27 and 28 are lighted to indicate when a respective motor speed range has been automatically established by the particular cutting blade 15 inserted into the handpiece (in the manner described below).
  • the high indicator 26 lights when a high speed burr blade is inserted into the handpiece.
  • the medium indicator 27 lights when a medium speed blade is inserted into the handpiece.
  • the low indicator 26 lights when no blade or a low speed blade is inserted into the handpiece.
  • the high speed range extends between 1500 and 2500 rpm; the medium range extends between 500 and 900 rpm; and the low speed range extends between 75 and 400 rpm.
  • Indicators 26, 27 and 28 are preferably bordered in different colors corresponding to the color of the blade resulting in the automatic selection of the indicated range.
  • the maximum speed display 29 is a four-digit light-emitting diode (LED) display for the upper limit of the speed range currently in force.
  • the minimum speed display 31 is a four-digit LED display for the lower limit of the speed range currently in force.
  • the RPM range LED bar display 30 indicates the relative motor speed between the displayed minimum and maximum limits and is in the form of a lighted bar having a vertical dimension which increases with increasing motor speed.
  • the maximum and minimum displays 29 and 31 are vertically spaced, and the range display 30 is disposed therebetween to present the range indication in a position permitting an observer to easily estimate, from the bar display, the location of the actual speed within the selected operating range.
  • An RPM digital display 32 is a four-digit LED display of the actual motor speed.
  • the word "actual” employed above to describe the speed display on bar display 30 and by digital display 32 is a misnomer.
  • the information from which these displays are derived is the control input information originating at the console 10 and applied, by electrical signal, to the motor in the handpiece 11.
  • the display does not reflect the measured rotational speed of the motor.
  • the response of the motor to the control signal is known with sufficient accuracy to permit the control information to serve as the source of the motor speed display within the precision requirements of the system.
  • Indicators 33, 34 and 35 are individually illuminated status indicators.
  • the reverse indicator 33 is illuminated when the reverse motor direction is selected at switch cluster 17 at handpiece 11; this indicator flashes on and off when the motor is rotating in reverse direction.
  • the forward indicator 34 is illuminated when the forward motor direction is selected at switch cluster 17; this indicator also flashes when the motor is rotating in the forward direction.
  • the footswitch indicator is illuminated when a separate foot-controlled switch (not shown) is connected to console 10. When the footswitch is so connected, the on/off, forward and reverse control switches at switch cluster 17 at the handpiece are inhibited.
  • Handpiece 11 is illustrated in detail in FIGS. 3-8 to which specific reference is now made.
  • Handpiece unit 11 includes an integrally formed lightweight metal body member 40 of generally cylindrical configuration.
  • Body member 40 is sealed at its rearward end by end cap 13 and at its forward end by locking ring 16.
  • a slightly radially enlarged flange 42 terminates the rearward end of body member 40 as best illustrated in FIGS. 6 and 6a.
  • the forward portion 41 of body member 40 occupies approximately twenty percent of the length of that member and is cylindrical with a somewhat larger outer-diameter than the remainder of the length of body member 40.
  • the outer diameter of forward section 41 would be 13/8 inches, while the outer diameter of the remainder of the body member 40 would be 1.2 inches.
  • forward section 41 is not disposed coaxially with respect to the remainder of body member 40.
  • body member 40 is considered to have a top side and a bottom side.
  • the top side (which is seen in plan in FIG. 4 and appears as extending along the top of the body member in FIGS. 3 and 6), is considered to be angularly centered on the line which divides switch cluster 17 into two equal transverse halves and extends longitudinally along the outside of member 40.
  • the bottom side of body member 40 is located diametrically opposed to the top side.
  • the top side of forward section 41 is longitudinally continuous (i.e., forming a straight line) with the top side of the remainder of body member 40.
  • forward section 41 is transversely larger than the rest of the body member 40.
  • the transverse dimensional difference between forward section 41 and the rest of body member 40 increases with angular displacement from the top side of the body member to a maximum difference occurring at the bottom side of the member.
  • the transition between forward section 41 and the rest of body member 40 takes the form of a chamfered surface 43 subtending an angle of approximately 45° with the longitudinal dimension of body member 40.
  • the overall effect of the enlarged forward section 41 is a barrelled-out portion of the body member at its forward end.
  • a longitudinally-extending cylindrical bore 44 having a series of sections of different diameter, is defined entirely through body member 40. Bore 44 is concentrically disposed within forward section 41 but is displaced closer to the bottom of the remainder of body member 40.
  • a rearward section 45 of bore 44 serves to house the drive motor for the unit and, in the described embodiment, is typically 4.475 inches long and has a diameter of 0.805 inches.
  • Bore section 46 in the disclosed embodiment, is typically 0.805 inches long with a diameter of 0.565 inches.
  • the next forward bore section 47 serves as an aspirator communication compartment and, in the disclosed embodiment, is typically 0.500 inches long and 0.750 inches in diameter.
  • a short section 48 i.e., typically 0.060 inches long, 0.565 inches in diameter
  • the O-ring housing section is typically 0.110 inches long and 0.750 inches in diameter.
  • the forward-most bore section 50 serves to receive the hub of the cutting blade. Bore section 50 is typically 0.620 inches long and 0.565 inches in diameter. The transitions between all bore sections are annular shoulders.
  • the motor assembly includes a cylindrical motor 51 disposed in bore section 45 and from which a rotatably driven pin 52 projects longitudinally in a forward direction into a hollow cylindrical spacer 55.
  • Spacer 55 remains stationary and has a hollow cylindrical drive tube 56 disposed concentrically therein.
  • Drive tube 56 is welded, tightly fit, or otherwise secured about driven pin 52 in radially spaced relation to spacer 55.
  • driven pin 52 is rotated and rotatably drives the drive tube 56 and drive shaft 54.
  • a stationary bearing housing 57 is disposed immediately forward of spacer 55 to provide a bearing support for the rotatable drive shaft extending therethrough.
  • a plurality of O-rings 58, 59 are disposed about bearing housing 57 and serve as pressure seals in a longitudinal direction in bore section 45. Additional pressure sealing is provided by a gasket 60 disposed adjacent the annular shoulder demarcating the transition between bore sections 45 and 46 and adjacent which the forward-facing end of bearing housing 57 is forcefully urged.
  • the housing for motor 51 is provided with a pair of diametrically opposed apertures 61 proximate the rearward end of the motor so that pins (not shown) can be inserted transversely through suitably provided openings in the handpiece body member 40 to lock the motor assembly in place against gasket 60.
  • the forward end of drive shaft 54 projects into bore section 46 wherein it receives a drive tang 72, projecting from the rearward end of the cutting blade, in rotatably drivable engagement.
  • the cutting blade assembly is illustrated in greater detail in FIGS. 9, 16 and 17 to which specific reference is now made.
  • the cutting blade assembly includes an outer member 70 and an inner member 71.
  • the inner member includes a tube 74 with a distal cutting end 73 which, in the illustrated embodiment, is an arthroplasty burr, although other blade types (such as meniscal open end, meniscal side cutter, end cutter, trimmer, meniscus cutter, synovial resector, and full radius resector) may be employed.
  • Each cutting blade tube 74 is hollow and has an opening 75 proximate the distal end 73 to admit excised tissue aspirated from the surgical site in response to suction applied at the proximal end of the tube.
  • the proximal end 76 of tube 74 is disposed in a molded member having a frusto-conical forward section 78, a hollow intermediate section 77 and a rearward section comprising the drive tang 72.
  • a bore extends transversely through the intermediate section 77 which is recessed to a reduced radial dimension at the bore openings 79.
  • the proximal end 76 of the hollow cutting blade tube 74 communicates with this bore so that aspirated material received in tube 74 ca flow out of the cutting blade through bore openings 79.
  • Drive tang 72 is received in a cup-like spring retainer member 80 that is open at both ends.
  • Spring retainer member 80 has an annular lip projecting radially inward at its forward end and adapted to engage a radially outward projecting lip on the rearward section of the molded member from which drive tang 72 extends.
  • the molded member, including sections 78, 77 and 72, and spring retainer 80 are preferably made of plastic so that the spring retainer can be forced into place on the molded member into a position whereby the two lips prevent mutual disengagement.
  • a helical spring 81 is disposed inside spring retainer 80 to surround the drive tang 72 and serve to bias the rearward end of the spring retainer away from the blade.
  • spring 81 urges the two annular lips axially against one another in the absence of any axial force in opposition to the spring.
  • tube 74 and burr 73 are made of metal (preferably stainless steel)
  • the remainder of the inner member 71 is preferably made of plastic.
  • Outer member 70 includes a hollow metal (preferably stainless steel) tube 82 having an inside diameter which is larger than the outside diameter of tube 74 in inner member 71.
  • the length of tube 82 is such that the distal end of tube 74, including the cutting blade 73 and opening 75, project through the open distal end of tube 82 when inner member 71 is inserted into and through inner member 70 in the manner described below.
  • the inner and outer members are conventional.
  • Tube 82 extends through a hollow hub preferably made of plastic material and having a short hollow frusto-conical forward end 83 formed integrally with a cylindrical section 84 having an annular rearward-facing surface that is ultrasonically welded or otherwise sealingly disposed against a fixed forward-facing annular surface 85 of a hollow cylindrical section 86.
  • a hollow cylindrical section 87 of reduced outer diameter Located rearward of hollow section 86 is a hollow cylindrical section 87 of reduced outer diameter.
  • a proximal end section 88 of the hub takes the form of a hollow cylinder with an outer diameter corresponding to that of sections 86 and 84.
  • a central bore 89 extends longitudinally through the integrally formed molded plastic sections 86, 87 and 88 and is generally cylindrical except at its proximal end where it has a frusto-conical contour 90 to receive the frusto-conical section 78 of the inner member 71.
  • Bore 89 is sized to permit tube 74 to extend therethrough, and through a similar aligned bore in sections 83 and 84, into tube 82.
  • the cutting blade when thusly assembled, has the forward-facing annular shoulder of section 77 of the inner member 71 disposed proximate the rearward-facing proximal end of rearward section 88 of outer member 70. The arrangement permits the inner member 70 to rotate within outer member 70 about the axis of tube 74.
  • one or more cylindrical recesses 91 are defined in hub section 86 at the forward-facing surface 85.
  • the number of such recesses 91 provided for any given cutting blade depends upon the optimal rotational speed range for that blade. Specifically, there are three possible speed ranges in the system of the preferred embodiment, although it will be apparent that any number of speed ranges may be designed into the system.
  • hub section 86 For low speed blades, hub section 86 has no recesses defined in surface 85.
  • hub section 86 has one recess 91 defined therein at a location radially spaced from the central bore 89 (as illustrated in FIG. 16).
  • hub 86 has two recesses 91 disposed symmetrically on opposite sides of the central bore 89 (as illustrated in FIGS. 17). Each recess 91 receives a magnet 92 that serves as a coding element for the blade.
  • the material from which the hub is fabricated must be such as to permit the magnetic field of magnets 92 to be sensed in handpiece 11 when the cutting blade is inserted therein (in the manner described below).
  • hub section 86 is formed with a locator stub 93 projecting a short distance radially outward from section 86 at a prescribed annular location on the hub circumference. Specifically, stub 93 is displaced 90° from each of the two possible angular orientations of recesses 91.
  • locking ring 16 is provided with a central aperture 101 extending longitudinally therethrough and aligned with bore section 50 in body member 40.
  • the diameters of aperture 101 and bore section 50 are slightly greater than the diameter of hub sections 86 and 88 and spring retainer 80.
  • Locator stub 93 in hub sections 86 projects radially beyond the boundary of aperture 101 and bore section 50.
  • a radially-extending slot 102 is defined in locking ring 16 at the periphery of aperture 101.
  • a corresponding radially-extending slot 103 is disposed at the periphery of bore section 50 and is sized to permit locator stub 93 to be received therein when the cutting blade assembly is inserted into the handpiece in the manner described below.
  • the forward-facing end surface 104 of body member 40 is provided with two generally cylindrically recesses 105, 106 disposed on diametrically opposite sides of bore section 50 and radially spaced from that bore section.
  • Recesses 105 and 106 are spaced on opposite sides and 90° from slot 103, and each has a generally cylindrical reed switch assembly 107 disposed therein.
  • Reed switch assembly 107 which is illustrated in greater detail in FIG. 11, includes a pair of normally open switch contacts 108, 109 embedded in a glass capsule 12 or potting compound, along with respective lead wires 110, 111 which are insulated and extend from the rearward end of the capsule.
  • the reed switches are oriented to sense the presence of respective magnets 93 in the blade assembly hub so as to register the coded speed range information from the inserted blade. This information, in the form of open/closed conditions of contacts 108, 109, is transmitted to the control circuity in the console 10 via wires 110, 111.
  • the insulated wires 110, 111 at the rear of the reed switch assembly pass into respective recesses 105, 106 and through respective obliquely oriented wire-conducting channels 113, 114. These channels terminate in a generally rectangular recessed space 115 in the top side of forward section 41, immediately below the switch cluster 17 and its associated printed circuit board 116.
  • the rear wall of recess 115 opens to a channel 117 that runs rearwardly for the remaining length of body member 40.
  • Channel 117 conducts reed switch wires 110, 111 and wires from printed circuit board 116 to the rearward end of body member 40 where the wires form part of cable 12 along with the wires connected to motor 51.
  • the wires in cable 12 conduct signals to and from the circuitry in the control console.
  • a bore 118 extends from the forward end of surface 104 of body member 40 into recess 115. Bore 118 is used during assembly of the handpiece unit as an access opening for potting compound. Once sufficient potting compound has been delivered into the handpiece, bore 118 is sealed by a set screw 119 and additional compound.
  • an aspiration path for excised tissue material flowing through hollow tube 74 and out through bore openings 79 in the cutting blade is provided via widened bore section 47.
  • section 77 of the molded part of the inner blade member 71 is disposed within bore section 44.
  • Openings 79 are clear from the bore walls to permit aspirated material to flow into bore section 47 and through an oblique channel 120 extending both rearwardly and toward the top side of body member 40 until terminating in a suction channel 121.
  • This suction channel extends rearwardly in parallel spaced relation to wire channel 117 until reaching the rearward end of body member 40 where it communicates, via end cap 13, with suction tube 14.
  • the suction tube 14 communicates with a source of suction pressure (not shown) via a control valve (not shown) to permit selective aspiration from the surgical site.
  • the O-ring 49 disposed in bore section 48 surrounds hub section 86 of the cutting blade assembly to provide a pressure seal forwardly of the aspiration chamber formed by bore section 44.
  • Gasket 60 and O-rings 58, 59 provide pressure seals rearwardly of the aspiration chamber.
  • Locking ring 16 is a generally cylindrical member having an exposed forward-facing surface 130 and a rearward-facing surface 131 abutting surface 104 of body member 40.
  • the locking ring is made of metal and includes a raised annular lip surrounding surface 131 and extending over a short length of the body member 40.
  • a circular recess 132 in surface 130 is disposed concentrically about aperture 101.
  • Arcuate channels 133, 134 are defined through the locking ring within recess 132. Channels 133 and 134 are equally spaced from slot 102 and are disposed symmetrically about aperture 101. Each channel subtends approximately 90° of arc at a constant radial distance from the center of aperture 101.
  • a disc-shaped spacer 135 is disposed in recess 132 and is provided with a central aperture 140, aligned with aperture 101, and with two screw holes spaced by 180° and aligned with corresponding tapped bores in forward end surface 104 of body member 40. Screws 136, 137 pass through the screw holes and are threadedly engaged in the tapped bores to secure spacer 135 to body member 40. These screws pass through respective channels 134, 133 to permit locking ring 16 to be rotated relative to spacer 135 and body member 40. Such rotation is limited by the lengths of the channels 133, 134 (i.e., 90°).
  • Spacer 135 also has a slot 138 defined therethrough to extend radially from central aperture 140. When slot 138 is rotatably aligned with slot 102 in locking ring 16, and with slot 103 in bore section 50, locator stub 93 on the cutting blade assembly can freely pass into and out of the body member 40.
  • the rearward-facing side of the locking ring 16 includes an arcuate ramp surface 141 extending approximately 140° from slot 102 along the outer edge of aperture 101 and the inner edge of arcuate slot 134.
  • Ramp surface 141 serves as a camming surface for inserting the cutting blade into the handpiece.
  • slot 102 is aligned with slot 138 in spacer 135 and with slot 103 in bore section 50.
  • slots 138 and 103 are permanently aligned but that slot 102 can be misaligned as a function of the rotation of the locking ring. When all the slots are aligned, the cutting blade assembly may be inserted through the locking ring as far as possible.
  • the open rearward end of the spring retainer member slides over the forward end of the motor drive shaft 54 (as best illustrated in FIG. 6) until the edge of the opening in member 84 abuts the frusto-conical surface of the drive shaft immediately rearward of the forward end of the drive shaft.
  • the locator stub 93 on the cutting blade hub is disposed substantially entirely in slot 103 in bore section 50 with just a small portion of the stub projecting partially into slot 102 of the locking ring. If the locking ring is then rotated 90° to its other extreme position, the camming surface 141 gradually forces stub 93, and with it the cutting blade assembly, rearwardly.
  • the locking ring In order to remove the cutting blade assembly, the locking ring is rotated 90° in the opposite direction to its initial extreme position, thereby gradually releasing the compression force on spring 81.
  • spring 81 forces the cutting blade assembly slightly forward so that a portion of stub 93 extends into slot 102. The blade assembly may then be easily removed and replaced by another blade.
  • the two extreme positions of the locking ring are maintained by mean of a detent ball 143 and spring 144 located in a recess in forward-facing surface 104 of body member 40.
  • the detent ball and spring cooperate with two dimples 145, 146 formed at 90° spaced locations in the rearward-facing surface of the locking ring to provide stops at the two extreme rotational positions of the locking ring.
  • Dimples 145 and 146 are configured as spherical segments to match the configuration of ball 143.
  • the locking ring 16 is retained in fixed axial or longitudinal position between the spacer 135 and body member 40 by means of screws 136, 137, but is free to rotate with respect to the spacer and body member by virtue of the 90° channels 133 and 134 that slide about the screws.
  • a printed circuit board 116 is contoured to fit into a shallow recess in forward section 41 of body member 40. This shallow recess surrounds the deeper recess 115 so that lead wires from the printed circuit board can pass into the recess 115 and through wire conducting channel 117 to the cable assembly.
  • the printed circuit board 116 is illustrated in greater detail in FIG. 14 and is transversely arcuate to match a segment of the circumference of forward section 41 of body member 40.
  • the printed circuit board 116 is made from a rectangular blank or sheet of decarburized steel having a length (i.e., longitudinally of body member 40) of 0.998 inches, a width (i.e., along the circumference of forward section 41) of 1.294 inches and a thickness of 0.013 inches.
  • the sheet is bent to be curved about its longitudinal center line with a radius of curvature of approximately 0.656 inches and so as to subtend an arc of 113°. It is to be understood that these dimensions are by way of example only are and not to be construed as limiting on the scope of the invention, except for the considerations set forth below.
  • a layer of porcelain is deposited on each surface of the sheet, and the metal circuit elements are deposited, or otherwise formed, on the top porcelain surface.
  • a pair of flaps 187, 188 at the center of the sheet are bent downwardly into recess 115 to provide access for lead wires running from the deposited circuitry on the top surface of the board to the handpiece cable via channel 117.
  • the particular materials used in fabricating the printed circuit board 116 are important since the board must withstand autoclave temperatures without becoming brittle and breaking. This becomes a particularly important consideration where, as here, the printed circuit board must be curved at a relatively small radius of curvature.
  • the radius of curvature is on the order of 0.6 to 0.7 inches, and usually is in the narrower range of 0.64 to 0.66 inches.
  • the decarburized steel sheet with porcelain coatings on both sides is suitable for the printed circuit board of the present invention, I have found that other materials are also suitable.
  • the printed circuit board may be a sheet of aluminum on which a thick film process is employed to form a layer of epoxy with gold silk screening to define the circuit elements.
  • the board may be a thin film TELFON (polytetrafluorethylene) weave board with copper laminate used to form the circuit elements.
  • Another alternative is a fiberglass epoxy substrate with copper laminate forming the circuit elements.
  • an integral electrically non-conductive silicone rubber sheet 150 having a Durometer on the order of seventy, is disposed atop the printed circuit board 116.
  • a plurality of resilient push button switches 151, 152, 153 and 154 are defined in sheet 150.
  • Each of pushbutton switches 151, 152 and 153 includes a resilient dome-like member 155 tapering from an open end facing the printed circuit board 116 to a closed end 156 remote from the printed circuit board.
  • the closed end 156 encompasses a smaller area and has a smaller periphery than the open end.
  • An electrically conductive member 157 is secured to the underside of the closed end 156.
  • Pushbutton switch 151 has a square-shaped closed end 156 and serves as the forward/reverse control switch.
  • Pushbutton switches 152 and 153 are circular and serve as the decrease speed and increase speed control switches, respectively for the motor.
  • Pushbutton switches 151, 152 and 153 are disposed in transversely aligned spaced relation along the circumference of the handpiece.
  • Pushbutton switch 154 is the on/off control switch for the motor and is generally oval-shaped.
  • pushbutton switch 154 is slightly rearward of the aligned switches 151-153 and has a length along the circumference of the handpiece which corresponds approximately to the total spaced length of the aligned switches 151-153. In this manner the on/off switch 154 is immediately proximate any of the other three switches and can be quickly actuated to turn the motor on or off.
  • Pushbutton switch 154 is also formed as a dome-like member 158 with a closed small end 159 and an open larger end.
  • electrically conductive members 160, 161, 162 are secured in transversely spaced relation (i.e., in the same spaced relation as pushbutton switches 151, 152 and 153) to the underside of closed end 159 and are positioned opposite three respective pairs of contacts on the printed circuit board 116. These printed circuit board contacts are connected electrically parallel to one another so that bridging of any one or more of the contact pairs effects the same on/off function.
  • electrically conductive member 160 is longitudinally aligned with electrically conductive member 157 of switch 151;
  • electrically conductive member 161 is longitudinally aligned with electrically conductive member 157 of switch 152; and
  • electrically conductive member 162 is longitudinally aligned with electrically conductive member 157 of switch 153.
  • transverse spacing of conductive members 160, 161 and 162 assure that substantially any location along the transverse dimension of switch 154 can be depressed to effect actuation of the on/off function.
  • the transverse spacing between successive electrically conductive members 160, 161 and 162 is only slightly greater than the transverse dimension of each of these individual electrically conductive members. For the given Durometer of sheet 150, effective actuation of switch 154 may be achieved from anywhere along the transverse dimension of that switch.
  • All contact pairs for all four switches 151, 152, 153 and 154 include one contact associated with a common lead 170 serving as a circuit ground in the system control circuitry.
  • lead 170 surrounds the other leads on three sides and includes six contacts 171, 172, 173, 174, 175 and 176 at spaced locations along its length.
  • a second lead 177 is associated only with on/off switch 154 and includes three contacts 178, 179 and 180 along its length.
  • Contacts 176 and 178 are closely spaced from one another and are positioned under electrically conductive member 162 to be electrically bridged by that member when it is pressed against the printed circuit board 116.
  • contacts 175 and 179 are positioned to be selectively bridged by conductive member 161
  • contacts 174 and 180 are positioned to be selectively bridged by electrically conductive member 160.
  • a third lead 181 has a single contact 182 positioned adjacent but spaced from ground contact 173 so that these two contacts can be selectively bridged by the electrically conductive member 157 of the forward/reverse switch 151.
  • a fourth lead 183 has a single contact 184 positioned adjacent but spaced from ground contact 172 so that these two contacts can be selectively bridged by the electrically conductive member 157 of the decrease speed switch 152.
  • a fifth lead 185 has a single contact 186 positioned adjacent but spaced from ground contact 171 so that these two contacts can be selectively bridged by the electrically conductive member 157 of the increase speed switch 153.
  • All five leads 170, 177, 181, 183 and 185 extend along one or the other of the centrally located and downwardly bent flaps 187, 188 to connect to appropriate wires in recess 115. As noted above, such wires are conducted through channel 117 to the cable assembly at the rearward end of the handpiece.
  • a metal cover plate or bezel 190 is disposed over sheet 150 and is apertured to permit pushbuttons 151, 152, 153 and 154 to project therethrough.
  • a plurality of screw holes disposed about the border of plate 190 are aligned with respective holes in sheet 150 and with edge notches in printed circuit board 116 in order to secure these elements together and to body member 40 via respective screws threadedly engaging respective tapped bores in the shallow body member recess in which printed circuit board 116 resides.
  • All of the components of the handpiece 11 are made of materials that are capable of withstanding the high temperatures to which they are exposed when the handpiece is sterilized by autoclaving or the like.
  • a potting compound or epoxy is used to protect the electrical components from damage during autoclaving.
  • the forward section 84 of the hub member for the cutting blade may be colored in a manner to match the border of one of the indicators 26, 27, 28 so as to provide a color-coded indication on the cutting blade of the speed range corresponding to the correspondingly color coded indicator border.
  • the body member 40 is made of lightweight material and is balanced to facilitate small joint arthroscopy. Longitudinally-extending fluting along the length of the body member facilitates handling.
  • the body member houses a powerful brushless motor providing the necessary torque and speed for all types of powered arthroscopic procedures.
  • the location of switch cluster 17 on the handpiece greatly facilitates operation by the surgeon. Automatic speed range is provided without the need for heavy adapters which must be sterilized after each surgical procedure.
  • a footswitch is provided to permit control over forward and reverse rotation while allowing the surgeon to select the proper speed from the handpiece.
  • the entire handpiece and cord may be immersed and soaked in a sterilized solution without corroding.
  • the unit may be flashed, steamed autoclaved or gas sterilized.
  • FIGS. 18 through 23 are briefly described in the following paragraphs. It is to be understood, however, that the microprocessor and electronic system described herein serve as only one embodiment for effecting the inventive features described above, and that other arrangements of electronic circuits and/or microprocessor units may be used to effect the inventive features.
  • the application includes appendices containing a program listing for the microprocessor and a list of the components illustrated in the circuits of FIGS. 18-23.
  • the electronic components are provided on three circuit boards, namely the control board illustrated in FIGS. 18 and 19, the display board illustrated in FIGS. 20 and 21, and the motor drive assembly illustrated in FIGS. 22 and 23.
  • the circuitry present on each of these circuit boards is described below. Referring first to the electrical schematic diagram in FIG. 18 and the functional block diagram in FIG. 19 for the control board, it will be seen that the control board includes four sections, namely, the power supplies, the microprocessor, the signal input section, and the digital-to-analog output section.
  • the power supply section furnishes two regulated d.c. voltages of +5 volts and +12 volts for internal circuit requirements. It also provides an unregulated d.c. +36 volts for the handpiece drive unit.
  • Mains transformer T1 has a multiple-tap primary winding for 100, 110 and 120 volt operation, or 200, 220 and 240 volt operation.
  • the mains power is supplied to transformer T1 via jack J1, circuit breakers CB1 (and CB2 for 230 volts a.c. units) and mains power switch S1.
  • Transformer T1 includes three secondary windings for providing 9.2 volts, 18 volts and 28 volts.
  • the 28 volts a.c. winding is fused by a fuse F1, rectified by bridge CR1-CR4 and filtered by capacitor C1.
  • the 18 volts a.c. winding is fused by fuse F3 and rectified by bridge BR1.
  • Capacitor C5 serves to filter this voltage which is regulated to +12 volts d.c. by voltage regulator VR2.
  • the 9.2 volts a.c. winding is fused by fuse F2 and rectified by bridge rectifier CR5-CR8.
  • the rectified voltage is filtered by capacitor C2 and regulated to +5 volts d.c. via voltage regulator VR1.
  • the CPU section contains a Z-80 type microprocessor with 1 Kbyte of random access memory, 4 Kbytes of EPROM memory, a reset circuit, clock, address decoders and the line driver/buffer circuit.
  • the Z-80 microprocessor U1 is clocked at 4 MHz by a quartz crystal controlled oscillator U2.
  • the program monitor reset circuit in the CPU section includes a dual timer U10, NAND gates U8, U9, and transistors Q1, Q2. These components provide the power "on” reset and cause a system restart if the processor jumps to an illegal address or becomes caught in a programming loop.
  • Switch S1 may be utilized for trouble shooting purposes when in the "inhibit" position, reset pulses are disconnected from the CPU integrated circuit U1.
  • the system may be manually started by momentarily grounding pin 26 of CPU U1 to determine whether or not there is a problem with the program monitor unit.
  • Two sections of integrated circuit U8 form a cross-coupled RS flip-flop.
  • the flip-flop is toggled each time the correct sequence of addressing is initiated by the program.
  • the flip-flop pulses ar utilized to trigger the second section of the timer U10. If the program fails to toggle the flip-flop (indicating improper program execution), capacitor C11 charges to a threshold level and triggers the timer to begin a reset pulse from the power supply section.
  • Transistor Q2 provides the discharge path for capacitor C11.
  • Transistor Q1 assures full discharge of capacitor C11 by feeding back the discharge pulse to the base of transistor Q2
  • the time constant established by resistor R16 and capacitor C11 sets the minimum time allowed between address pulses from the program before a reset occurs.
  • the time constant established by resistor R18 and capacitor C14 sets the reset pulse low time, and the time constant established by resistor R17 and capacitor C13 sets the "wait for initialize" time high after the restart.
  • Integrated circuit U4 is a 1 Kbyte random access memory utilized for stack operations and scratch pad memory purposes.
  • Integrated circuit U5 is a 4 Kbyte EPROM in which the system program is stored.
  • Integrated circuit U3 is a three-two-eight line decoder utilized for memory selection.
  • Integrated circuit U7 is a four-two-sixteen line decoder providing input/output (I/O) selection for the system.
  • the data buss is buffered from peripheral circuitry by integrated circuit U6.
  • the signal input section of the control board accepts commands from the handpiece, the footswitch, and from the front panel display board.
  • Handpiece commands are RC-filtered, level-shifted by integrated circuit U17 from +12 volts to +5 volts d.c. and transferred onto the data buss via buffer U16.
  • the RC-filtered front panel commands and the footswitch commands are transferred onto the data buss via buffer U15.
  • the footswitch is electrically isolated from the system by optoisolators U12, U13 and U14.
  • the primary winding of transformer T1 is driven by transistor Q3 which is switched at a 25 KHz rate by oscillator U11.
  • the secondary winding of transformer T1 is rectified and filtered to produce an isolated +5 volts d.c. that is then applied to the footswitch.
  • the footswitch When the footswitch is connected, it energizes optoisolator U13.
  • optoisolator U12 When the footswitch "reverse" pedal is depressed, it energizes optoisolator U12. The forward pedal energizes optoisolator U14.
  • the output signals from optoisolators U12, U13 and U14 are transferred onto the data buss by buffer U15.
  • the digital-to-analog section of the control board receives a digital word from the CPU U1 and converts it to an analog voltage that sets the motor speed via the drive assembly circuit (FIGS. 22, 23).
  • the digital-to-analog convertor U18 converts the digital word to an analog voltage. This voltage is divided by resistors R38 and R40 and then RC-coupled to operational amplifier U19. Potentiometer R42 is used to set the maximum speed of 2500 rpm. The signal is then coupled to the offset amplifier where resistor R48 sets the minimum speed of 75 rpm. Thereafter the signal is routed to the drive assembly (FIGS. 22, 23) where it is used to set the motor speed.
  • the display board is illustrated in FIGS. 20 (functional block diagram) and 21 (detailed schematic).
  • the display board controls the LED digit displays, the range bar graph and all of the indicator lamps at the console front panel. Commands are provided from the display board to the drive assembly (FIGS. 22, 23), and input signals are received by the display board from the front panel switches.
  • Each of the LED driver integrated circuits (Ul for actual speed display 32; U2 for upper and lower limit displays 29 and 31) contain an eight-by-four bit random access memory (RAM). Data to be displayed is written as a four-bit word. The low order four bits (D0-D3) contain the number to be written, and the high order four bits (D4-D7) contain the address to the internal RAM location. Each of the four-bit words are multiplexed to the seven-segment LED's at a two kilohertz rate by a clock that is internal to the driver integrated circuit.
  • RAM random access memory
  • Output latches U3, U4 and U5 receive digital information from the CPU to drive the bar graphs DS13, DS14 and LED's DS21-DS24.
  • Output latch U6 receives digital information from the CPU and controls the audio, the front panel indicators DS15-DS20, and output commands to the drive assembly (FIGS. 22, 23) via the control board (FIGS. 18, 19).
  • Transistors Q7 and Q8 are employed to level shift the voltage from +5 to +12 volts d.c.
  • Audio speaker LS1 is driven by transistor Q12, the latter being switched at a 500 Hz rate by one-half of oscillator U10. Potentiometer R31 is utilized to internally set the audio sound level.
  • the other half of oscillator U10 is a two Hz oscillator used to switch the 500 Hz audio oscillator to beep the audio and to blink the forward and reverse indicators when the motor is running.
  • Two sections of integrated circuit U9 form a cross-coupled RS flip-flop which accepts input signals from the touch switch 23 and the continuous switch 22 located at the front panel.
  • Flip-flop U9 also provides an output signal to the control board (FIGS. 18, 19).
  • the other two sections of the flip-flop U9 accept input signals from the "OSC” switch 24 and the "NORM” switch 25 located at the front panel.
  • the motor drive assembly board is illustrated in functional block diagram form in FIG. 22 and in a detailed schematic diagram in FIG. 23.
  • the motor drive assembly is a closed loop three-phase system used to control the brushless d.c. motor 51 located in the handpiece 11.
  • Voltage regulator U8 develops +12 volts d.c. for internal circuit requirements and is also employed by the motor position sensors.
  • Transistor Q10, transformer T1 and associated 4 components are employed to develop a voltage which is +3 volts d.c. higher than the voltage present at pin 2 of plug P1. This higher voltage is employed to turn off transistors Q1, Q4 and Q7.
  • a -3.5 volts d.c. reference voltage is generated by voltage convertor U7 so as to be utilized by the switched mode controller U6.
  • A,B,C Hall effect transistors located in motor 51 and serve to relay the motor position information to the motor controller U4. This information, along with the speed data information supplied by the switched-mode controller U6, is employed to provide electronic commutations of the motor windings.
  • the three phases R, S and T are driven by the bipolar and field effect transistor switching output stages Q1-Q9 and Q11-Q22.
  • Voltage comparator U2 senses the voltage across resistor R37. If this voltage exceeds the preset limit, +12 volts is applied to motor controller U4 (at pin 12) via flip-flop U13 to disable the output signals.
  • One-quarter of exclusive OR gate U1 is employed during the power-up state to supply a ground reference to the motor controller U4 (at pin 12) via flip-flop U13 for normal operation.
  • the Hall effect transistor signals from the motor are also used for velocity feedback in the closed loop system. These signals are combined and waved-shaped by exclusive OR gate U1 and applied to the frequency-to-voltage convertor U5. This d.c. voltage is then sent to the switched mode controller U6 which compares the voltage at pin 6 (rpm commanded from the control board) with the voltage at pin 15 (actual motor speed). This signal difference is then applied to the motor controller U4 to maintain a constant speed.
  • the invention makes available a novel drive system for an arthroscopic surgical instrument wherein the drive motor may be entirely controlled from the handpiece and wherein automatic speed range control is effected by directly coding the cutting blade assembly and thereby eliminating the need for an intermediate adapter.
  • the unique arcuate printed circuit board, serving as part of the handpiece control switch cluster, permits that cluster to be contoured to fit generally within the contour of the handpiece so that the handpiece itself may be more easily manipulated and so that the individual switches in the switch cluster may be quickly and accurately accessed.

Abstract

A motor-driven surgical instrument having particular use in arthroscopic procedures has its drive motor operation controllable entirely from a switch cluster mounted on the instrument handpiece. The switch cluster is curved to substantially follow the circumferential profile of the handpiece and thereby avoid large platforms or projections that would add to the weight and bulk of the handpiece and destroy its balance. The switches in the cluster are arranged to minimize the movement of a surgeon's finger in quickly moving from a speed or direction control switch to an on/off switch. A unique arcuate printed circuit board having a small radius of curvature is employed as part of the switch cluster and is able to withstand the high temperatures to which the handpiece is exposed during sterilization between procedures. Disposable, single-use cutting blades are individually coded to provide a sensible parameter representing the optimum operating speed range of the cutting blade. This parameter is sensed by the handpiece to provide a control signal which both establishes the optimum motor speed range and provides a visible indication of the established range. In this manner the instrument is able to avoid relatively heavy coded adapters employed in the prior art to provide interface between the cutting blade and the handpiece.

Description

BACKGROUND OF THE INVENTION
1. Technical Field
The present invention relates to surgical instruments and, more particularly, to instruments having rotatable motor-driven arthroscopic cutting blades capable of removing fibrous tissue lying between articulate surfaces in and around joints of the body. In addition, the instrument of the present invention can be used to balance meniscal rims and to evacuate excised tissue.
2. Discussion of the Prior Art
A typical prior art arthroscopic surgical instrument is disclosed in U.S. Pat. Nos. 4,203,444 (Bonnell et al) and 4,274,414 (Johnson et al). The disclosed instruments are elongated handpieces serving as a housing for a motor which rotatably drives a cutting blade projecting longitudinally from the forward end of the handpiece. The blade is disposed in an apertured sheath or outer tube through which excised tissue material is aspirated via suction applied through the handpiece. Controls for the motor (i.e., on/off, speed control, etc.) are located at a console and connected to the motor via a cable interconnecting the console with the handpiece.
Surgical instruments of the type described must be fabricated of material capable of withstanding autoclave temperatures (i.e., in excess of 270 degrees Fahrenheit) so that the instrument may be sterilized between surgical procedures. It is recognized in the prior art that cutting blades may be designed to be disposable (i.e., the blades are used for a single procedure and then discarded) so as to avoid the requirement of blade sterilization between procedures. However, the handpiece and the components housed therein must be repeatedly sterilized. On the other hand, the control console, which houses electrical circuitry and controls, is not required to be sterilized between uses. As a consequence, a surgeon cannot operate the console controls during a surgical procedure and must rely on an assistant to do so.
It is also recognized in the prior art that certain cutting blades, designed for specific types of surgical procedures, operate optimally within specified ranges of rotational speed. In some commercially-available systems a switch is provided on the control console to permit the operator to select a speed range that is consistent with the cutting blade to be used. A further control at the console permits the operator to select the desired speed within the selected range. A more recent development (made commercially available by Dyonics, Inc., of Andover, Mass. as the "Advanced Arthroscopic Surgical System") automatically sets the speed range appropriate for the selected cutting blade. This is achieved by providing three different cutting blade adapters (i.e., one adapter for each of the possible speed ranges) by which the cutting blade may be operably engaged with the handpiece. The adapters are coded for the desired speed range by means of one or more magnets at specified locations in the adapters. Reed switches in the handpiece ar actuated by respective magnets and transmit the speed range control code information to the console to establish the correct speed range. A manual control at the console permits selection of particular speeds within the established range.
As noted above, prior art instruments of the type described have controls at the console which cannot be operated by the surgeon during a procedure without compromising sterilization. It is desirable, therefore, to provide all of the controls on the handpiece. However, there are a number of obstacles which have precluded placing the controls on the handpiece. Specifically, the entire handpiece must be capable of withstanding the temperatures experienced in an autoclave during sterilization. In addition, the controls should not increase the bulk of the handpiece, particularly in its transverse dimension, since increased bulk renders the handpiece unwieldy to manipulate during surgical procedures. Finally, the controls must be located in a convenient manner so as to permit the surgeon to quickly and easily operate each control, preferably with the one hand that holds the handpiece. Prior to the present invention, the prior art has been unable to overcome this combination of obstacles.
In addition, although it is desirable to provide for automatic setting of speed ranges to optimize specific blade operation, the prior art approach has certain disadvantages. In particular, the coded adapter is an additional part of the system which must be capable of withstanding autoclaving temperatures. Consequently, the adapter is relatively heavy and adds significantly to the overall weight of the handpiece. This adversely affects manipulability of the handpiece during surgical procedures. It is desirable, therefore, to provide for automatic speed range selection while eliminating the extra adapter part.
OBJECTS AND SUMMARY OF THE INVENTION
It is therefore an object of the present invention to provide a surgical instrument of the type described wherein controls are provided at the handpiece to permit the entire operation of the instrument to be controlled from the handpiece without adding significant weight or volume to the handpiece.
It is another object of the present invention to provide a surgical instrument of the type described which includes automatic speed range selection without requiring a separate adapter part for connecting the cutting blade to the handpiece.
A further object of the invention is to provide a disposable cutting blade for a surgical instrument of the type described, which blade can be used with both the handpiece of the present invention and with the above-described prior art instruments having speed range adapters for connecting the blade to the handpiece.
It is yet another object of the present invention to provide a switch cluster on a handpiece of an arthroscopic surgical instrument wherein the cluster does not project transversely significantly beyond the contour of the handpiece, wherein the individual switches in the cluster are oriented to be easily accessed by the surgeon's hand in which the handpiece is held, and wherein the switch cluster and associated circuit in the handpiece are capable of withstanding autoclave temperatures.
A still further object of the present invention is to provide a surgical instrument of the type described wherein automatic setting of the optimal speed range for each disposable cutting blade is achieved by coding the disposable cutting blades themselves rather than by employing a separate coded and reusable adapter part for connecting the cutting blade to the handpiece.
In accordance with the present invention an arthroscopic surgical instrument can be controlled from a switch cluster located proximate the forward end of a handpiece. The switch cluster includes a plurality of pushbutton switches and is arrayed arcuately to correspond to the curvature of the handpiece periphery. An arcuate printed circuit board is disposed within the handpiece and closely spaced from the switch cluster so that actuation of each switch bridges a corresponding pair of printed circuit contacts. Both the arcuate switch cluster and the arcuate printed circuit board are constructed to withstand autoclave temperatures to which the entire handpiece assembly is subjected when sterilized. Importantly, the small radius of curvature required for the printed circuit board renders the choice of material of paramount importance in order to prevent the board from becoming brittle when exposed to autoclaving temperatures.
The switch cluster includes four pushbuttons for: (1) controlling motor direction; (2) increasing motor speed; (3) decreasing motor speed; and (4) actuating and deactuating the motor (i.e., on/off). In the optimum arrangement, switches (1), (2) and (3) are disposed proximate the forward end of the handpiece and are aligned along an arcuate path extending along the handpiece circumference. The on/off switch (4) is disposed immediately longitudinally behind the other three switches and is elongated arcuately. The surgeon can actuate each of the switches using a single finger of the hand in which the handpiece is supported. The arcuately elongated on/off switch permits the motor to be rapidly deactuated with minimal movement of the surgeon's actuation finger.
In order to automatically select the optimal motor speed range for each cutting blade, mutually interactive coding and decoding elements are disposed directly in the cutting blade and the handpiece, respectively. In the preferred embodiment, magnets are disposed in the cutting blade and reed switches are disposed in the handpiece to effect automatic speed range control in a manner similar to the prior art described above; however, and importantly, control is effected without the need for an extra adapter part. An advantage of the magnet and reed switch arrangement is that it permits the cutting blades to be usable with the handpiece of the present invention while also mechanically fitting into the adapter of the prior art handpiece. However, other cutting blade-handpiece coding arrangements may be employed, such as: mechanical projections on the cutting blade hubs positioned to actuate respective pressure-sealed switches in the handpiece; projections on the blade hubs blocking respective light paths in light-actuated circuits in the handpiece; etc. Whichever coding arrangement is used, the sensing components in the handpiece must be sealed so as not to be damaged during autoclaving.
BRIEF DESCRIPTION OF THE DRAWINGS
The above and still further objects, features and advantages of the present invention will become apparent upon consideration of the following detailed description of a specific embodiment thereof, especially when taken in conjunction with the accompanying drawings wherein like reference numerals in the various figures are utilized to designate like components, and wherein:
FIG. 1 is a view in perspective of a control console and handpiece unit of a preferred embodiment of the present invention;
FIG. 2 is a view in elevation of the front panel of the control console of FIG. 1;
FIG. 3 is a side view in elevation of the handpiece unit of FIG. 1;
FIG. 4 is a top view in plan of the handpiece unit of FIG. 3;
FIG. 5 is an end view in elevation of the handpiece unit of FIG. 3;
FIG. 6 is a view in longitudinal section taken along lines 6--6 of FIG. 5;
FIG. 6A is a view in transverse section taken along lines 6A--6A of FIG. 3;
FIG. 7 is a view of the rearward-facing surface of the locking ring secured to the handpiece unit as viewed along lines 7--7 of FIG. 6;
FIG. 8 is a view in section of the locking ring taken along lines 8--8 of FIG. 7;
FIG. 9 is an exploded side view in elevation and partial section of a cutting blade assembly employed in conjunction with the handpiece unit of FIG. 6;
FIG. 10 is a diagramatic illustration of the manner in which the speed range coding of a cutting blade is detected by the handpiece unit in accordance with the principles of the present invention;
FIG. 11 is a view in longitudinal section of a reed switch employed in the handpiece unit to detect magnetic speed range coding present in cutting blade assemblies inserted into the handpiece;
FIG. 12 is a top view in plan of the control switch cluster provided on the handpiece unit of the present invention;
FIG. 13 is a view in transverse section taken along lines 13--13 of FIG. 12 and showing three of the control switches provided as part of the control switch cluster;
FIG. 14 is a view in perspective of the printed circuit board employed as part of the switch cluster assembly in the handpiece;
FIG. 15 is a view in transverse section taken along lines 15--15 of FIG. 12 and showing a fourth switch provided as part of the handpiece switch cluster;
FIG. 16 is a view in section of the cutting blade assembly taken along lines 16--16 of FIG. 9;
FIG. 17 is a view similar to that of FIG. 16 for a different cutting blade assembly coded to have a different optimal operating speed than the cutting blade assembly illustrated in FIG. 16;
FIG. 18 is a detailed schematic diagram of the electronic components employed on the control board located in the control console;
FIG. 19 is a functional block diagram of the control board;
FIG. 20 is a functional block diagram of the display board located in the control console;
FIG. 21 is a detailed schematic diagram of the display board;
FIG. 22 is a functional block diagram of the motor drive assembly located in the control console; and
FIG. 23 is a detailed schematic diagram of the motor drive assembly.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring specifically to FIG. 1 of the accompanying drawings, a surgical instrument constructed according to the present invention includes a control console 10 electrically interconnected to a surgical handpiece 11 via a flexible drive unit cable 12. Cable 12 terminates at one end in a plural-conductor connector (not shown) that is received in a receptacle (not shown) secured at the rear or side of console 10. The other end of cable 12 terminates in an end cap 13 located at the proximal or rearward end of the handpiece 11. Also extending from the handpiece end cap 13 is a suction tube 14 that communicates with the handpiece interior and serves, in a conventional manner, to conduct fluid from the handpiece to a vacuum source (not shown). Typically, a control valve is disposed in the suction line intermediate tube 14 and the vacuum source to provide control over the aspiration of fluid from the surgical site and through the handpiece interior. A cutting blade 15 projects from a locking ring 16 disposed at the forward or distal end of the handpiece 11. The handpiece is generally cylindrical and the cutting blade is oriented to project substantially coaxially along the central longitudinal axis of the locking ring 16. A cluster 17 of control switches is disposed in an arcuate array proximate the forward end of the handpiece 11, the cluster being curved to correspond to the circumferential profile of the handpiece.
As illustrated in greater detail in FIG. 2, control console 10 has a front panel 20 with a number of controls and indicators. Specifically, a mains power switch 21 of the rocker type permits application and removal of primary power to and from the system. Lighted switches 22 and 23 actuate the blade drive motor in the handpiece 11. If the continuous switch 22 is pressed and released, the drive motor rotates and the switch lights; if the switch is pressed and released again, the motor stops and the switch light is turned off. If the touch switch 23 is held depressed, the motor rotates and the switch lights; release of the switch stops the motor and turns off the switch light.
The blade rotation switches 24 and 25 control the rotation direction of the motor. When the OSC switch 24 is pressed and released, the motor changes rotation directions at pre-set intervals and the switch is lighted; the NORM switch 25 is unlighted. When the NORM switch 25 is pressed and released, the motor rotates in the direction selected at switch cluster 17 in the handpiece (as described below) and the switch is lighted; the OSC switch 26 remains unlighted.
The drive mode indicators 26, 27 and 28 are lighted to indicate when a respective motor speed range has been automatically established by the particular cutting blade 15 inserted into the handpiece (in the manner described below). The high indicator 26 lights when a high speed burr blade is inserted into the handpiece. The medium indicator 27 lights when a medium speed blade is inserted into the handpiece. The low indicator 26 lights when no blade or a low speed blade is inserted into the handpiece. In the preferred embodiment disclosed herein, the high speed range extends between 1500 and 2500 rpm; the medium range extends between 500 and 900 rpm; and the low speed range extends between 75 and 400 rpm. Indicators 26, 27 and 28 are preferably bordered in different colors corresponding to the color of the blade resulting in the automatic selection of the indicated range.
The maximum speed display 29 is a four-digit light-emitting diode (LED) display for the upper limit of the speed range currently in force. The minimum speed display 31 is a four-digit LED display for the lower limit of the speed range currently in force. The RPM range LED bar display 30 indicates the relative motor speed between the displayed minimum and maximum limits and is in the form of a lighted bar having a vertical dimension which increases with increasing motor speed. The maximum and minimum displays 29 and 31 are vertically spaced, and the range display 30 is disposed therebetween to present the range indication in a position permitting an observer to easily estimate, from the bar display, the location of the actual speed within the selected operating range. An RPM digital display 32 is a four-digit LED display of the actual motor speed. It must be noted that the word "actual" employed above to describe the speed display on bar display 30 and by digital display 32 is a misnomer. The information from which these displays are derived is the control input information originating at the console 10 and applied, by electrical signal, to the motor in the handpiece 11. In other words, the display does not reflect the measured rotational speed of the motor. However, the response of the motor to the control signal is known with sufficient accuracy to permit the control information to serve as the source of the motor speed display within the precision requirements of the system.
Indicators 33, 34 and 35 are individually illuminated status indicators. The reverse indicator 33 is illuminated when the reverse motor direction is selected at switch cluster 17 at handpiece 11; this indicator flashes on and off when the motor is rotating in reverse direction. The forward indicator 34 is illuminated when the forward motor direction is selected at switch cluster 17; this indicator also flashes when the motor is rotating in the forward direction. The footswitch indicator is illuminated when a separate foot-controlled switch (not shown) is connected to console 10. When the footswitch is so connected, the on/off, forward and reverse control switches at switch cluster 17 at the handpiece are inhibited.
Handpiece 11 is illustrated in detail in FIGS. 3-8 to which specific reference is now made. Handpiece unit 11 includes an integrally formed lightweight metal body member 40 of generally cylindrical configuration. Body member 40 is sealed at its rearward end by end cap 13 and at its forward end by locking ring 16. A slightly radially enlarged flange 42 terminates the rearward end of body member 40 as best illustrated in FIGS. 6 and 6a. The forward portion 41 of body member 40 occupies approximately twenty percent of the length of that member and is cylindrical with a somewhat larger outer-diameter than the remainder of the length of body member 40. Typically, for a body member 40 having a length of 6.57 inches, the outer diameter of forward section 41 would be 13/8 inches, while the outer diameter of the remainder of the body member 40 would be 1.2 inches. However, forward section 41 is not disposed coaxially with respect to the remainder of body member 40. In this regard, it is helpful to consider body member 40 as having a top side and a bottom side. The top side (which is seen in plan in FIG. 4 and appears as extending along the top of the body member in FIGS. 3 and 6), is considered to be angularly centered on the line which divides switch cluster 17 into two equal transverse halves and extends longitudinally along the outside of member 40. The bottom side of body member 40 is located diametrically opposed to the top side. As best illustrated in FIGS. 3 and 6, the top side of forward section 41 is longitudinally continuous (i.e., forming a straight line) with the top side of the remainder of body member 40. At all other angular positions about the body member, forward section 41 is transversely larger than the rest of the body member 40. The transverse dimensional difference between forward section 41 and the rest of body member 40 increases with angular displacement from the top side of the body member to a maximum difference occurring at the bottom side of the member. The transition between forward section 41 and the rest of body member 40 takes the form of a chamfered surface 43 subtending an angle of approximately 45° with the longitudinal dimension of body member 40. The overall effect of the enlarged forward section 41 is a barrelled-out portion of the body member at its forward end.
As best illustrated in FIG. 6, a longitudinally-extending cylindrical bore 44, having a series of sections of different diameter, is defined entirely through body member 40. Bore 44 is concentrically disposed within forward section 41 but is displaced closer to the bottom of the remainder of body member 40. A rearward section 45 of bore 44 serves to house the drive motor for the unit and, in the described embodiment, is typically 4.475 inches long and has a diameter of 0.805 inches. Immediately forward of bore section 45 is a shorter section 46 of smaller diameter in which the motor drive shaft engages the cutting blade. Bore section 46, in the disclosed embodiment, is typically 0.805 inches long with a diameter of 0.565 inches. The next forward bore section 47 serves as an aspirator communication compartment and, in the disclosed embodiment, is typically 0.500 inches long and 0.750 inches in diameter. A short section 48 (i.e., typically 0.060 inches long, 0.565 inches in diameter) separates the aspiration communication chamber 47 from a housing section for a O-ring 49. The O-ring housing section is typically 0.110 inches long and 0.750 inches in diameter. Finally, the forward-most bore section 50 serves to receive the hub of the cutting blade. Bore section 50 is typically 0.620 inches long and 0.565 inches in diameter. The transitions between all bore sections are annular shoulders.
The motor assembly includes a cylindrical motor 51 disposed in bore section 45 and from which a rotatably driven pin 52 projects longitudinally in a forward direction into a hollow cylindrical spacer 55. Spacer 55 remains stationary and has a hollow cylindrical drive tube 56 disposed concentrically therein. Drive tube 56 is welded, tightly fit, or otherwise secured about driven pin 52 in radially spaced relation to spacer 55. Driven pin 52 has a generally rectangular transverse cross=section and is engaged in a bifurcated rearward end 53 of a drive shaft 54 which is also received in and secured to drive tube 56. Thus, when the motor is actuated, driven pin 52 is rotated and rotatably drives the drive tube 56 and drive shaft 54. A stationary bearing housing 57 is disposed immediately forward of spacer 55 to provide a bearing support for the rotatable drive shaft extending therethrough. A plurality of O- rings 58, 59 are disposed about bearing housing 57 and serve as pressure seals in a longitudinal direction in bore section 45. Additional pressure sealing is provided by a gasket 60 disposed adjacent the annular shoulder demarcating the transition between bore sections 45 and 46 and adjacent which the forward-facing end of bearing housing 57 is forcefully urged. In this regard, the housing for motor 51 is provided with a pair of diametrically opposed apertures 61 proximate the rearward end of the motor so that pins (not shown) can be inserted transversely through suitably provided openings in the handpiece body member 40 to lock the motor assembly in place against gasket 60.
The forward end of drive shaft 54 projects into bore section 46 wherein it receives a drive tang 72, projecting from the rearward end of the cutting blade, in rotatably drivable engagement. The cutting blade assembly is illustrated in greater detail in FIGS. 9, 16 and 17 to which specific reference is now made. The cutting blade assembly includes an outer member 70 and an inner member 71. The inner member includes a tube 74 with a distal cutting end 73 which, in the illustrated embodiment, is an arthroplasty burr, although other blade types (such as meniscal open end, meniscal side cutter, end cutter, trimmer, meniscus cutter, synovial resector, and full radius resector) may be employed. Each cutting blade tube 74 is hollow and has an opening 75 proximate the distal end 73 to admit excised tissue aspirated from the surgical site in response to suction applied at the proximal end of the tube. The proximal end 76 of tube 74 is disposed in a molded member having a frusto-conical forward section 78, a hollow intermediate section 77 and a rearward section comprising the drive tang 72. A bore extends transversely through the intermediate section 77 which is recessed to a reduced radial dimension at the bore openings 79. The proximal end 76 of the hollow cutting blade tube 74 communicates with this bore so that aspirated material received in tube 74 ca flow out of the cutting blade through bore openings 79. Drive tang 72 is received in a cup-like spring retainer member 80 that is open at both ends. Spring retainer member 80 has an annular lip projecting radially inward at its forward end and adapted to engage a radially outward projecting lip on the rearward section of the molded member from which drive tang 72 extends. The molded member, including sections 78, 77 and 72, and spring retainer 80 are preferably made of plastic so that the spring retainer can be forced into place on the molded member into a position whereby the two lips prevent mutual disengagement. A helical spring 81 is disposed inside spring retainer 80 to surround the drive tang 72 and serve to bias the rearward end of the spring retainer away from the blade. In this manner, spring 81 urges the two annular lips axially against one another in the absence of any axial force in opposition to the spring. Whereas tube 74 and burr 73 are made of metal (preferably stainless steel), the remainder of the inner member 71 is preferably made of plastic.
Outer member 70 includes a hollow metal (preferably stainless steel) tube 82 having an inside diameter which is larger than the outside diameter of tube 74 in inner member 71. The length of tube 82 is such that the distal end of tube 74, including the cutting blade 73 and opening 75, project through the open distal end of tube 82 when inner member 71 is inserted into and through inner member 70 in the manner described below. In this regard the inner and outer members are conventional. Tube 82 extends through a hollow hub preferably made of plastic material and having a short hollow frusto-conical forward end 83 formed integrally with a cylindrical section 84 having an annular rearward-facing surface that is ultrasonically welded or otherwise sealingly disposed against a fixed forward-facing annular surface 85 of a hollow cylindrical section 86. Immediately rearward of hollow section 86 is a hollow cylindrical section 87 of reduced outer diameter. A proximal end section 88 of the hub takes the form of a hollow cylinder with an outer diameter corresponding to that of sections 86 and 84. A central bore 89 extends longitudinally through the integrally formed molded plastic sections 86, 87 and 88 and is generally cylindrical except at its proximal end where it has a frusto-conical contour 90 to receive the frusto-conical section 78 of the inner member 71. Bore 89 is sized to permit tube 74 to extend therethrough, and through a similar aligned bore in sections 83 and 84, into tube 82. The cutting blade, when thusly assembled, has the forward-facing annular shoulder of section 77 of the inner member 71 disposed proximate the rearward-facing proximal end of rearward section 88 of outer member 70. The arrangement permits the inner member 70 to rotate within outer member 70 about the axis of tube 74.
As best illustrated in FIGS. 16 and 17, one or more cylindrical recesses 91 are defined in hub section 86 at the forward-facing surface 85. The number of such recesses 91 provided for any given cutting blade depends upon the optimal rotational speed range for that blade. Specifically, there are three possible speed ranges in the system of the preferred embodiment, although it will be apparent that any number of speed ranges may be designed into the system. For low speed blades, hub section 86 has no recesses defined in surface 85. For medium speed blades, hub section 86 has one recess 91 defined therein at a location radially spaced from the central bore 89 (as illustrated in FIG. 16). For high speed blades, hub 86 has two recesses 91 disposed symmetrically on opposite sides of the central bore 89 (as illustrated in FIGS. 17). Each recess 91 receives a magnet 92 that serves as a coding element for the blade. The material from which the hub is fabricated must be such as to permit the magnetic field of magnets 92 to be sensed in handpiece 11 when the cutting blade is inserted therein (in the manner described below). In order to assure proper orientation of magnet 92 in the handpiece, hub section 86 is formed with a locator stub 93 projecting a short distance radially outward from section 86 at a prescribed annular location on the hub circumference. Specifically, stub 93 is displaced 90° from each of the two possible angular orientations of recesses 91.
Referring again to FIGS. 3-8, locking ring 16 is provided with a central aperture 101 extending longitudinally therethrough and aligned with bore section 50 in body member 40. The diameters of aperture 101 and bore section 50 are slightly greater than the diameter of hub sections 86 and 88 and spring retainer 80. Locator stub 93 in hub sections 86, however, projects radially beyond the boundary of aperture 101 and bore section 50. In order to permit the cutting blade assembly to be accommodated into the handpiece through aperture 101, a radially-extending slot 102 is defined in locking ring 16 at the periphery of aperture 101. A corresponding radially-extending slot 103 is disposed at the periphery of bore section 50 and is sized to permit locator stub 93 to be received therein when the cutting blade assembly is inserted into the handpiece in the manner described below.
As best illustrated in FIG. 10, the forward-facing end surface 104 of body member 40 is provided with two generally cylindrically recesses 105, 106 disposed on diametrically opposite sides of bore section 50 and radially spaced from that bore section. Recesses 105 and 106 are spaced on opposite sides and 90° from slot 103, and each has a generally cylindrical reed switch assembly 107 disposed therein. Reed switch assembly 107, which is illustrated in greater detail in FIG. 11, includes a pair of normally open switch contacts 108, 109 embedded in a glass capsule 12 or potting compound, along with respective lead wires 110, 111 which are insulated and extend from the rearward end of the capsule. The reed switches are oriented to sense the presence of respective magnets 93 in the blade assembly hub so as to register the coded speed range information from the inserted blade. This information, in the form of open/closed conditions of contacts 108, 109, is transmitted to the control circuity in the console 10 via wires 110, 111. The insulated wires 110, 111 at the rear of the reed switch assembly pass into respective recesses 105, 106 and through respective obliquely oriented wire-conducting channels 113, 114. These channels terminate in a generally rectangular recessed space 115 in the top side of forward section 41, immediately below the switch cluster 17 and its associated printed circuit board 116. The rear wall of recess 115 opens to a channel 117 that runs rearwardly for the remaining length of body member 40. Channel 117 conducts reed switch wires 110, 111 and wires from printed circuit board 116 to the rearward end of body member 40 where the wires form part of cable 12 along with the wires connected to motor 51. The wires in cable 12 conduct signals to and from the circuitry in the control console.
A bore 118 extends from the forward end of surface 104 of body member 40 into recess 115. Bore 118 is used during assembly of the handpiece unit as an access opening for potting compound. Once sufficient potting compound has been delivered into the handpiece, bore 118 is sealed by a set screw 119 and additional compound.
Referring again to FIG. 6, an aspiration path for excised tissue material flowing through hollow tube 74 and out through bore openings 79 in the cutting blade is provided via widened bore section 47. Specifically, when the cutting blade assembly is properly inserted into the handpiece, section 77 of the molded part of the inner blade member 71 is disposed within bore section 44. Openings 79 are clear from the bore walls to permit aspirated material to flow into bore section 47 and through an oblique channel 120 extending both rearwardly and toward the top side of body member 40 until terminating in a suction channel 121. This suction channel extends rearwardly in parallel spaced relation to wire channel 117 until reaching the rearward end of body member 40 where it communicates, via end cap 13, with suction tube 14. As described above, the suction tube 14 communicates with a source of suction pressure (not shown) via a control valve (not shown) to permit selective aspiration from the surgical site. The O-ring 49 disposed in bore section 48 surrounds hub section 86 of the cutting blade assembly to provide a pressure seal forwardly of the aspiration chamber formed by bore section 44. Gasket 60 and O- rings 58, 59 provide pressure seals rearwardly of the aspiration chamber.
Locking ring 16 is a generally cylindrical member having an exposed forward-facing surface 130 and a rearward-facing surface 131 abutting surface 104 of body member 40. The locking ring is made of metal and includes a raised annular lip surrounding surface 131 and extending over a short length of the body member 40. A circular recess 132 in surface 130 is disposed concentrically about aperture 101. Arcuate channels 133, 134 are defined through the locking ring within recess 132. Channels 133 and 134 are equally spaced from slot 102 and are disposed symmetrically about aperture 101. Each channel subtends approximately 90° of arc at a constant radial distance from the center of aperture 101. A disc-shaped spacer 135 is disposed in recess 132 and is provided with a central aperture 140, aligned with aperture 101, and with two screw holes spaced by 180° and aligned with corresponding tapped bores in forward end surface 104 of body member 40. Screws 136, 137 pass through the screw holes and are threadedly engaged in the tapped bores to secure spacer 135 to body member 40. These screws pass through respective channels 134, 133 to permit locking ring 16 to be rotated relative to spacer 135 and body member 40. Such rotation is limited by the lengths of the channels 133, 134 (i.e., 90°). Spacer 135 also has a slot 138 defined therethrough to extend radially from central aperture 140. When slot 138 is rotatably aligned with slot 102 in locking ring 16, and with slot 103 in bore section 50, locator stub 93 on the cutting blade assembly can freely pass into and out of the body member 40.
The rearward-facing side of the locking ring 16, as seen in FIGS. 7 and 8, includes an arcuate ramp surface 141 extending approximately 140° from slot 102 along the outer edge of aperture 101 and the inner edge of arcuate slot 134. Ramp surface 141 serves as a camming surface for inserting the cutting blade into the handpiece. Specifically, in one extreme rotational position of locking ring 16, slot 102 is aligned with slot 138 in spacer 135 and with slot 103 in bore section 50. It is to be noted that slots 138 and 103 are permanently aligned but that slot 102 can be misaligned as a function of the rotation of the locking ring. When all the slots are aligned, the cutting blade assembly may be inserted through the locking ring as far as possible. The open rearward end of the spring retainer member slides over the forward end of the motor drive shaft 54 (as best illustrated in FIG. 6) until the edge of the opening in member 84 abuts the frusto-conical surface of the drive shaft immediately rearward of the forward end of the drive shaft. In this position the locator stub 93 on the cutting blade hub is disposed substantially entirely in slot 103 in bore section 50 with just a small portion of the stub projecting partially into slot 102 of the locking ring. If the locking ring is then rotated 90° to its other extreme position, the camming surface 141 gradually forces stub 93, and with it the cutting blade assembly, rearwardly. This pushes the drive tang 72, in opposition to the bias force of spring 81, further rearward in spring retainer 80 and into more positive engagement with the drive shaft 54. Thus, in the installed position of the blade assembly, spring 81 is axially compressed as camming surface 141 forces locator stub fully into the slot 103 in bore section 50.
In order to remove the cutting blade assembly, the locking ring is rotated 90° in the opposite direction to its initial extreme position, thereby gradually releasing the compression force on spring 81. When slot 102 becomes aligned with slots 138 and 103, spring 81 forces the cutting blade assembly slightly forward so that a portion of stub 93 extends into slot 102. The blade assembly may then be easily removed and replaced by another blade.
The two extreme positions of the locking ring are maintained by mean of a detent ball 143 and spring 144 located in a recess in forward-facing surface 104 of body member 40. The detent ball and spring cooperate with two dimples 145, 146 formed at 90° spaced locations in the rearward-facing surface of the locking ring to provide stops at the two extreme rotational positions of the locking ring. Dimples 145 and 146 are configured as spherical segments to match the configuration of ball 143. The locking ring 16 is retained in fixed axial or longitudinal position between the spacer 135 and body member 40 by means of screws 136, 137, but is free to rotate with respect to the spacer and body member by virtue of the 90° channels 133 and 134 that slide about the screws.
An important feature of the present invention is the switch cluster 17 located on the top side of body member 40 in forward section 41. Specifically, and referring to FIG. 6, a printed circuit board 116 is contoured to fit into a shallow recess in forward section 41 of body member 40. This shallow recess surrounds the deeper recess 115 so that lead wires from the printed circuit board can pass into the recess 115 and through wire conducting channel 117 to the cable assembly. The printed circuit board 116 is illustrated in greater detail in FIG. 14 and is transversely arcuate to match a segment of the circumference of forward section 41 of body member 40. Typically, the printed circuit board 116 is made from a rectangular blank or sheet of decarburized steel having a length (i.e., longitudinally of body member 40) of 0.998 inches, a width (i.e., along the circumference of forward section 41) of 1.294 inches and a thickness of 0.013 inches. The sheet is bent to be curved about its longitudinal center line with a radius of curvature of approximately 0.656 inches and so as to subtend an arc of 113°. It is to be understood that these dimensions are by way of example only are and not to be construed as limiting on the scope of the invention, except for the considerations set forth below. A layer of porcelain is deposited on each surface of the sheet, and the metal circuit elements are deposited, or otherwise formed, on the top porcelain surface. A pair of flaps 187, 188 at the center of the sheet are bent downwardly into recess 115 to provide access for lead wires running from the deposited circuitry on the top surface of the board to the handpiece cable via channel 117. The particular materials used in fabricating the printed circuit board 116 are important since the board must withstand autoclave temperatures without becoming brittle and breaking. This becomes a particularly important consideration where, as here, the printed circuit board must be curved at a relatively small radius of curvature. Typically, in order for the printed circuit board to conform to the curvature of the handpiece circumference, the radius of curvature is on the order of 0.6 to 0.7 inches, and usually is in the narrower range of 0.64 to 0.66 inches. Although the decarburized steel sheet with porcelain coatings on both sides is suitable for the printed circuit board of the present invention, I have found that other materials are also suitable. For example, the printed circuit board may be a sheet of aluminum on which a thick film process is employed to form a layer of epoxy with gold silk screening to define the circuit elements. Alternatively, the board may be a thin film TELFON (polytetrafluorethylene) weave board with copper laminate used to form the circuit elements. Another alternative is a fiberglass epoxy substrate with copper laminate forming the circuit elements.
Referring to FIGS. 12, 13, and 15, an integral electrically non-conductive silicone rubber sheet 150, having a Durometer on the order of seventy, is disposed atop the printed circuit board 116. A plurality of resilient push button switches 151, 152, 153 and 154 are defined in sheet 150. Each of pushbutton switches 151, 152 and 153 includes a resilient dome-like member 155 tapering from an open end facing the printed circuit board 116 to a closed end 156 remote from the printed circuit board. The closed end 156 encompasses a smaller area and has a smaller periphery than the open end. An electrically conductive member 157 is secured to the underside of the closed end 156. The electrically conductive member of each of pushbuttons 151, 152 and 153 is normally disposed in spaced alignment between a respective pair of contacts on the printed circuit board so that, when the pushbutton is depressed, those contacts are electrically bridged by the conductive member 157. Pushbutton switch 151 has a square-shaped closed end 156 and serves as the forward/reverse control switch. Pushbutton switches 152 and 153 are circular and serve as the decrease speed and increase speed control switches, respectively for the motor. Pushbutton switches 151, 152 and 153 are disposed in transversely aligned spaced relation along the circumference of the handpiece.
Pushbutton switch 154 is the on/off control switch for the motor and is generally oval-shaped. In this regard pushbutton switch 154 is slightly rearward of the aligned switches 151-153 and has a length along the circumference of the handpiece which corresponds approximately to the total spaced length of the aligned switches 151-153. In this manner the on/off switch 154 is immediately proximate any of the other three switches and can be quickly actuated to turn the motor on or off. Pushbutton switch 154 is also formed as a dome-like member 158 with a closed small end 159 and an open larger end. Three electrically conductive members 160, 161, 162 are secured in transversely spaced relation (i.e., in the same spaced relation as pushbutton switches 151, 152 and 153) to the underside of closed end 159 and are positioned opposite three respective pairs of contacts on the printed circuit board 116. These printed circuit board contacts are connected electrically parallel to one another so that bridging of any one or more of the contact pairs effects the same on/off function. In the preferred embodiment, electrically conductive member 160 is longitudinally aligned with electrically conductive member 157 of switch 151; electrically conductive member 161 is longitudinally aligned with electrically conductive member 157 of switch 152; and electrically conductive member 162 is longitudinally aligned with electrically conductive member 157 of switch 153. The transverse spacing of conductive members 160, 161 and 162 assure that substantially any location along the transverse dimension of switch 154 can be depressed to effect actuation of the on/off function. In this regard, the transverse spacing between successive electrically conductive members 160, 161 and 162 is only slightly greater than the transverse dimension of each of these individual electrically conductive members. For the given Durometer of sheet 150, effective actuation of switch 154 may be achieved from anywhere along the transverse dimension of that switch.
The circuitry on printed circuit board 116 is illustrated in FIG. 14 to which specific reference is now made. All contact pairs for all four switches 151, 152, 153 and 154 include one contact associated with a common lead 170 serving as a circuit ground in the system control circuitry. In this regard, lead 170 surrounds the other leads on three sides and includes six contacts 171, 172, 173, 174, 175 and 176 at spaced locations along its length. A second lead 177 is associated only with on/off switch 154 and includes three contacts 178, 179 and 180 along its length. Contacts 176 and 178 are closely spaced from one another and are positioned under electrically conductive member 162 to be electrically bridged by that member when it is pressed against the printed circuit board 116. In a similar manner contacts 175 and 179 are positioned to be selectively bridged by conductive member 161, and contacts 174 and 180 are positioned to be selectively bridged by electrically conductive member 160.
A third lead 181 has a single contact 182 positioned adjacent but spaced from ground contact 173 so that these two contacts can be selectively bridged by the electrically conductive member 157 of the forward/reverse switch 151. A fourth lead 183 has a single contact 184 positioned adjacent but spaced from ground contact 172 so that these two contacts can be selectively bridged by the electrically conductive member 157 of the decrease speed switch 152. A fifth lead 185 has a single contact 186 positioned adjacent but spaced from ground contact 171 so that these two contacts can be selectively bridged by the electrically conductive member 157 of the increase speed switch 153.
All five leads 170, 177, 181, 183 and 185 extend along one or the other of the centrally located and downwardly bent flaps 187, 188 to connect to appropriate wires in recess 115. As noted above, such wires are conducted through channel 117 to the cable assembly at the rearward end of the handpiece.
A metal cover plate or bezel 190 is disposed over sheet 150 and is apertured to permit pushbuttons 151, 152, 153 and 154 to project therethrough. A plurality of screw holes disposed about the border of plate 190 are aligned with respective holes in sheet 150 and with edge notches in printed circuit board 116 in order to secure these elements together and to body member 40 via respective screws threadedly engaging respective tapped bores in the shallow body member recess in which printed circuit board 116 resides.
All of the components of the handpiece 11 are made of materials that are capable of withstanding the high temperatures to which they are exposed when the handpiece is sterilized by autoclaving or the like. A potting compound or epoxy is used to protect the electrical components from damage during autoclaving.
With brief reference to FIG. 9, the forward section 84 of the hub member for the cutting blade may be colored in a manner to match the border of one of the indicators 26, 27, 28 so as to provide a color-coded indication on the cutting blade of the speed range corresponding to the correspondingly color coded indicator border.
The body member 40 is made of lightweight material and is balanced to facilitate small joint arthroscopy. Longitudinally-extending fluting along the length of the body member facilitates handling. The body member houses a powerful brushless motor providing the necessary torque and speed for all types of powered arthroscopic procedures. The location of switch cluster 17 on the handpiece greatly facilitates operation by the surgeon. Automatic speed range is provided without the need for heavy adapters which must be sterilized after each surgical procedure. Although the motor may be completely controlled from the handpiece, a footswitch is provided to permit control over forward and reverse rotation while allowing the surgeon to select the proper speed from the handpiece. The entire handpiece and cord may be immersed and soaked in a sterilized solution without corroding. In addition, the unit may be flashed, steamed autoclaved or gas sterilized.
The use of disposable, single-use cutting blades assures factory-fresh sharpness with every surgical procedure and eliminates the expense and time delay involved in sharpening and re-sharpening blades.
Operation is controlled by a sophisticated microprocessor system. The microprocessor and related electronic circuitry, of itself, does not constitute part of the present invention; however, for purposes of fully disclosing the best mode of carrying out the invention, a microprocessor and related electronic circuitry are disclosed herein in FIGS. 18 through 23 and are briefly described in the following paragraphs. It is to be understood, however, that the microprocessor and electronic system described herein serve as only one embodiment for effecting the inventive features described above, and that other arrangements of electronic circuits and/or microprocessor units may be used to effect the inventive features. In furtherance of the requirement for disclosing the best mode of carrying out the invention, the application includes appendices containing a program listing for the microprocessor and a list of the components illustrated in the circuits of FIGS. 18-23.
The electronic components are provided on three circuit boards, namely the control board illustrated in FIGS. 18 and 19, the display board illustrated in FIGS. 20 and 21, and the motor drive assembly illustrated in FIGS. 22 and 23. The circuitry present on each of these circuit boards is described below. Referring first to the electrical schematic diagram in FIG. 18 and the functional block diagram in FIG. 19 for the control board, it will be seen that the control board includes four sections, namely, the power supplies, the microprocessor, the signal input section, and the digital-to-analog output section. The power supply section furnishes two regulated d.c. voltages of +5 volts and +12 volts for internal circuit requirements. It also provides an unregulated d.c. +36 volts for the handpiece drive unit. The system is internally wired for a nominal 115 volts 50/60 Hz operation. Mains transformer T1 has a multiple-tap primary winding for 100, 110 and 120 volt operation, or 200, 220 and 240 volt operation. The mains power is supplied to transformer T1 via jack J1, circuit breakers CB1 (and CB2 for 230 volts a.c. units) and mains power switch S1. Transformer T1 includes three secondary windings for providing 9.2 volts, 18 volts and 28 volts. The 28 volts a.c. winding is fused by a fuse F1, rectified by bridge CR1-CR4 and filtered by capacitor C1. The unregulated +36 volts d.c. is used to drive motor 51 in the handpiece. The 18 volts a.c. winding is fused by fuse F3 and rectified by bridge BR1. Capacitor C5 serves to filter this voltage which is regulated to +12 volts d.c. by voltage regulator VR2. The 9.2 volts a.c. winding is fused by fuse F2 and rectified by bridge rectifier CR5-CR8. The rectified voltage is filtered by capacitor C2 and regulated to +5 volts d.c. via voltage regulator VR1.
The CPU section contains a Z-80 type microprocessor with 1 Kbyte of random access memory, 4 Kbytes of EPROM memory, a reset circuit, clock, address decoders and the line driver/buffer circuit. The Z-80 microprocessor U1 is clocked at 4 MHz by a quartz crystal controlled oscillator U2.
The program monitor reset circuit in the CPU section includes a dual timer U10, NAND gates U8, U9, and transistors Q1, Q2. These components provide the power "on" reset and cause a system restart if the processor jumps to an illegal address or becomes caught in a programming loop. Switch S1 may be utilized for trouble shooting purposes when in the "inhibit" position, reset pulses are disconnected from the CPU integrated circuit U1. The system may be manually started by momentarily grounding pin 26 of CPU U1 to determine whether or not there is a problem with the program monitor unit.
Two sections of integrated circuit U8 form a cross-coupled RS flip-flop. The flip-flop is toggled each time the correct sequence of addressing is initiated by the program. The flip-flop pulses ar utilized to trigger the second section of the timer U10. If the program fails to toggle the flip-flop (indicating improper program execution), capacitor C11 charges to a threshold level and triggers the timer to begin a reset pulse from the power supply section.
Transistor Q2 provides the discharge path for capacitor C11. Transistor Q1 assures full discharge of capacitor C11 by feeding back the discharge pulse to the base of transistor Q2 The time constant established by resistor R16 and capacitor C11 sets the minimum time allowed between address pulses from the program before a reset occurs. The time constant established by resistor R18 and capacitor C14 sets the reset pulse low time, and the time constant established by resistor R17 and capacitor C13 sets the "wait for initialize" time high after the restart.
Integrated circuit U4 is a 1 Kbyte random access memory utilized for stack operations and scratch pad memory purposes. Integrated circuit U5 is a 4 Kbyte EPROM in which the system program is stored. Integrated circuit U3 is a three-two-eight line decoder utilized for memory selection. Integrated circuit U7 is a four-two-sixteen line decoder providing input/output (I/O) selection for the system. The data buss is buffered from peripheral circuitry by integrated circuit U6.
The signal input section of the control board accepts commands from the handpiece, the footswitch, and from the front panel display board. Handpiece commands are RC-filtered, level-shifted by integrated circuit U17 from +12 volts to +5 volts d.c. and transferred onto the data buss via buffer U16. The RC-filtered front panel commands and the footswitch commands are transferred onto the data buss via buffer U15. The footswitch is electrically isolated from the system by optoisolators U12, U13 and U14.
The primary winding of transformer T1 is driven by transistor Q3 which is switched at a 25 KHz rate by oscillator U11. The secondary winding of transformer T1 is rectified and filtered to produce an isolated +5 volts d.c. that is then applied to the footswitch. When the footswitch is connected, it energizes optoisolator U13. When the footswitch "reverse" pedal is depressed, it energizes optoisolator U12. The forward pedal energizes optoisolator U14. The output signals from optoisolators U12, U13 and U14 are transferred onto the data buss by buffer U15.
The digital-to-analog section of the control board receives a digital word from the CPU U1 and converts it to an analog voltage that sets the motor speed via the drive assembly circuit (FIGS. 22, 23). The digital-to-analog convertor U18 converts the digital word to an analog voltage. This voltage is divided by resistors R38 and R40 and then RC-coupled to operational amplifier U19. Potentiometer R42 is used to set the maximum speed of 2500 rpm. The signal is then coupled to the offset amplifier where resistor R48 sets the minimum speed of 75 rpm. Thereafter the signal is routed to the drive assembly (FIGS. 22, 23) where it is used to set the motor speed.
The display board is illustrated in FIGS. 20 (functional block diagram) and 21 (detailed schematic). The display board controls the LED digit displays, the range bar graph and all of the indicator lamps at the console front panel. Commands are provided from the display board to the drive assembly (FIGS. 22, 23), and input signals are received by the display board from the front panel switches.
Each of the LED driver integrated circuits (Ul for actual speed display 32; U2 for upper and lower limit displays 29 and 31) contain an eight-by-four bit random access memory (RAM). Data to be displayed is written as a four-bit word. The low order four bits (D0-D3) contain the number to be written, and the high order four bits (D4-D7) contain the address to the internal RAM location. Each of the four-bit words are multiplexed to the seven-segment LED's at a two kilohertz rate by a clock that is internal to the driver integrated circuit.
Output latches U3, U4 and U5 receive digital information from the CPU to drive the bar graphs DS13, DS14 and LED's DS21-DS24.
Output latch U6 receives digital information from the CPU and controls the audio, the front panel indicators DS15-DS20, and output commands to the drive assembly (FIGS. 22, 23) via the control board (FIGS. 18, 19). Transistors Q7 and Q8 are employed to level shift the voltage from +5 to +12 volts d.c.
Audio speaker LS1 is driven by transistor Q12, the latter being switched at a 500 Hz rate by one-half of oscillator U10. Potentiometer R31 is utilized to internally set the audio sound level. The other half of oscillator U10 is a two Hz oscillator used to switch the 500 Hz audio oscillator to beep the audio and to blink the forward and reverse indicators when the motor is running.
Two sections of integrated circuit U9 form a cross-coupled RS flip-flop which accepts input signals from the touch switch 23 and the continuous switch 22 located at the front panel. Flip-flop U9 also provides an output signal to the control board (FIGS. 18, 19). The other two sections of the flip-flop U9 accept input signals from the "OSC" switch 24 and the "NORM" switch 25 located at the front panel.
The motor drive assembly board is illustrated in functional block diagram form in FIG. 22 and in a detailed schematic diagram in FIG. 23. The motor drive assembly is a closed loop three-phase system used to control the brushless d.c. motor 51 located in the handpiece 11.
Voltage regulator U8 develops +12 volts d.c. for internal circuit requirements and is also employed by the motor position sensors. Transistor Q10, transformer T1 and associated 4 components are employed to develop a voltage which is +3 volts d.c. higher than the voltage present at pin 2 of plug P1. This higher voltage is employed to turn off transistors Q1, Q4 and Q7. In addition, a -3.5 volts d.c. reference voltage is generated by voltage convertor U7 so as to be utilized by the switched mode controller U6.
There are three Hall effect transistors (A,B,C) located in motor 51 and serve to relay the motor position information to the motor controller U4. This information, along with the speed data information supplied by the switched-mode controller U6, is employed to provide electronic commutations of the motor windings. The three phases R, S and T are driven by the bipolar and field effect transistor switching output stages Q1-Q9 and Q11-Q22.
Over current circuitry is provided to protect the windings, the associated drivers, and the power supply. Voltage comparator U2 senses the voltage across resistor R37. If this voltage exceeds the preset limit, +12 volts is applied to motor controller U4 (at pin 12) via flip-flop U13 to disable the output signals. One-quarter of exclusive OR gate U1 is employed during the power-up state to supply a ground reference to the motor controller U4 (at pin 12) via flip-flop U13 for normal operation.
The Hall effect transistor signals from the motor are also used for velocity feedback in the closed loop system. These signals are combined and waved-shaped by exclusive OR gate U1 and applied to the frequency-to-voltage convertor U5. This d.c. voltage is then sent to the switched mode controller U6 which compares the voltage at pin 6 (rpm commanded from the control board) with the voltage at pin 15 (actual motor speed). This signal difference is then applied to the motor controller U4 to maintain a constant speed.
It is to be understood that the various specific dimensions presented by way of example herein are intended to be only exemplary unless otherwise stated.
From the foregoing description it will be appreciated that the invention makes available a novel drive system for an arthroscopic surgical instrument wherein the drive motor may be entirely controlled from the handpiece and wherein automatic speed range control is effected by directly coding the cutting blade assembly and thereby eliminating the need for an intermediate adapter. The unique arcuate printed circuit board, serving as part of the handpiece control switch cluster, permits that cluster to be contoured to fit generally within the contour of the handpiece so that the handpiece itself may be more easily manipulated and so that the individual switches in the switch cluster may be quickly and accurately accessed.
Having described a preferred embodiment of a new and improved electrosurgical instrument constructed in accordance with the present invention, it is believed that other modifications, variations and changes will be suggested to those skilled in the art in view of the techniques set forth herein. It is therefore to be understood that all such variations, modifications and changes are believed to fall within the scope of the present invention as defined in the appended claims. ##SPC1##

Claims (9)

What is claimed is:
1. An electrically drive surgical apparatus comprising:
an elongated, autoclavable, hollow handpiece having a generally cylindrical configuration;
a rotatably drivable cutting blade assembly;
a motor disposed in said handpiece;
securing means for engaging said cutting blade to said handpiece to be rotatably driven by said motor; and
a switch cluster disposed on said handpiece and including at least a first switch means for selectively actuating and deactuating said motor and at least a second switch means for selectively changing the operating speed of said motor, said switch cluster being arcuately configured to substantially conform to the configuration of said handpiece, said switch cluster including a plurality of pushbuttons and a printed circuit board having paris of switch contacts positioned to be conductively bridged upon depression of respective pushbuttons, said printed circuit board having an arcuate configuration to match the configuration of said handpiece, said printed circuit board being capable of withstanding temperatures in excess of 270° F. without adverse effect.
2. The apparatus according to claim 1 wherein said printed circuit board comprises a metal plate coated on both surfaces with porcelain and having electrically conductive leads defined on at least one of said porcelain-coated surfaces.
3. The apparatus according to claim 2 wherein said arcuate configuration has a radius of curvature in the range of 0.6 to 0.7 inches.
4. In an electrically drive surgical apparatus including an elongate, autoclavable handpiece having a forward end, an electric motor disposed in said handpiece and operable to rotate in forward and reverse directions at varying speeds, and an arthroscopic cutting blade received in said forward end of said handpiece to be rotatably driven by said motor and extending longitudinally from said handpiece, an improved motor control arrangement comprising:
a cluster of first, second, third and fourth manually-operable pushbutton switches disposed on said handpiece at said forward end;
first control means, including said first switch, for selectively controlling the forward or reverse direction in which said motor drives said cutting blade;
second control means, including said second switch, for selectively increasing the speed at which said motor drives said cutting blade;
third control means, including said third switch, for selectively decreasing the speed at which said motor drives said cutting blade; and
fourth control means, including said fourth switch, for selectively activating and deactivating said motor;
said handpiece having a longitudinal dimension and a perimetric dimension extending transversely to said longitudinal dimension, said first, second and third pushbutton switches being disposed in spaced alignment along said perimetric dimension of said handpiece, and said fourth pushbutton switch being more elongated along said perimetric dimension than each of said first, second and third switches and being spaced from and longitudinally aligned with said first, second and third switches;
wherein said first, second, third and fourth control means comprise circuit-carrying means disposed within said handpiece and carrying at least four pairs of switch contacts positioned to be bridged upon actuation of said first, second, third and fourth switches, respectively;
wherein each of said first, second and third switches includes: a resilient dome-like member tapering from an open first end having a relatively large periphery to a closed second end having a relatively small periphery, said closed second end being disposed insubstantial registration with a respective pair of three of said pairs of contacts on said circuit-carrying means; and an electrically conductive member secured to said second end so as to electrically bridge said respective pair of contacts when said second end is pressed a predetermined distance toward said circuit-carrying means; and
wherein said fourth switch includes: a resilient transversely elongated dome-like member tapering from an open end to a closed actuation end, said actuation end being disposed in substantial registration with a fourth pair of said contacts on said circuit-carrying means; and a plurality of transversely spaced electrically conductive members secured to the actuator end so as to individually electrically bridge said fourth pair of contacts when a corresponding portion of said actuator end is pressed a predetermined distance toward said circuit-carrying means.
5. The apparatus according to claim 4 wherein said plurality of transversely spaced electrically conductive members are three in number, each being longitudinally aligned along the length dimension of said handpiece with the electrically conductive member of a respective one of said first, second and third switches.
6. The apparatus according to claim 4 wherein said handpiece is generally cylindrical, wherein said spaced alignment extends arcuately along the circumference of said handpiece, and wherein said circuit-carrying means is an arcuate printed circuit board configured as a segment of a cylinder and disposed inside said handpiece in closely spaced relation to said first, second third and fourth switches.
7. The apparatus according to claim 4 further comprising:
an integral sheet of flexible non-conductive material, said resilient dome-like members of all of said first, second, third and fourth switches being part of said integral sheet;
a plate overlying said integral sheet and having a plurality of apertures defined therethrough, said apertures being positioned in alignment with respective ones of said first, second, third and fourth switches such that the dome-like member of each switch projects through a respective aperture in said plate; and
wherein said circuit-carrying means is a printed circuit board.
8. The apparatus according to claim 7 wherein said handpiece has a generally cylindrical portion, and wherein said integral sheet, said plate and said printed circuit board are each segments of a cylinder.
9. An electrically driven surgical apparatus according to claim 1 wherein said handpiece includes sensing means and said cutting blade assembly includes an elongate tubular outer member having a distal end with an opening therein and a proximal end, an elongate inner member received in said outer member and having a distal cutting end disposed adjacent said opening in said distal end of said outer member and a proximal end rotatably driven by said motor to rotate in said outer member and a plastic hub mounted on said proximal end of said outer member including first and second sections, at least one of said first and second sections having recess means therein, coding means disposed in said recess means having a characteristic detectable by said sensing means, said first and second sections being secured together to hold said coding means in said recess means whereby said cutting blade assembly can be identified by the sensing means in said handpiece detecting the presence of said coding means.
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US07/437,270 US5269794A (en) 1987-02-18 1989-12-04 Cutting blade assembly for an arthroscopic surgical instrument drive system
US08/118,851 US5632759A (en) 1987-02-18 1993-09-10 Cutting blade assembly for an arthroscopic surgical instrument drive system

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Cited By (565)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5376078A (en) * 1992-12-10 1994-12-27 Linvatec Corporation Rotatable surgical cutting instrument with positionally adjustable window
EP0700663A3 (en) * 1994-09-09 1996-05-01 Bristol Myers Squibb Co Power-assisted arthroscopic surgical device with suction tube
US5619018A (en) * 1995-04-03 1997-04-08 Compaq Computer Corporation Low weight multilayer printed circuit board
WO1997016123A1 (en) 1995-10-31 1997-05-09 Smith & Nephew, Inc. Magnetic switching element for controlling a surgical device
WO1997016124A1 (en) * 1995-10-31 1997-05-09 Smith & Nephew, Inc. Surgical instrument handpiece and system
USD381425S (en) * 1995-10-31 1997-07-22 Smith & Nephew Endoscopy Inc. Hub for a surgical instrument
WO1997033523A1 (en) * 1996-03-11 1997-09-18 Medical Scientific, Inc. Electrosurgical rotating cutting device
USD388170S (en) * 1995-10-31 1997-12-23 Smith & Nephew Endoscopy, Inc. Surgical handpiece
WO1998014129A1 (en) * 1996-09-30 1998-04-09 Minnesota Mining And Manufacturing Company Powered surgical instruments and control unit
EP0858623A1 (en) * 1995-10-31 1998-08-19 Smith & Nephew, Inc. Motor controlled surgical system
US5928256A (en) * 1994-05-10 1999-07-27 Riza; Erol D. Motor controlled surgical instrument
US6037724A (en) * 1997-05-01 2000-03-14 Osteomed Corporation Electronic controlled surgical power tool
US6086544A (en) * 1999-03-31 2000-07-11 Ethicon Endo-Surgery, Inc. Control apparatus for an automated surgical biopsy device
US6120462A (en) * 1999-03-31 2000-09-19 Ethicon Endo-Surgery, Inc. Control method for an automated surgical biopsy device
US6193715B1 (en) 1999-03-19 2001-02-27 Medical Scientific, Inc. Device for converting a mechanical cutting device to an electrosurgical cutting device
US6273862B1 (en) 1998-10-23 2001-08-14 Ethicon Endo-Surgery, Inc Surgical device for the collection of soft tissue
US20010047183A1 (en) * 2000-04-05 2001-11-29 Salvatore Privitera Surgical device for the collection of soft tissue
US20020026201A1 (en) * 1994-09-16 2002-02-28 Foerster Seth A. Methods for defining and marking tissue
US20020077645A1 (en) * 2000-10-20 2002-06-20 Ethicon Endo-Surgery, Inc. Apparatus and method for altering generator functions in an ultrasonic surgical system
US6428487B1 (en) 1999-12-17 2002-08-06 Ethicon Endo-Surgery, Inc. Surgical biopsy system with remote control for selecting an operational mode
US6432064B1 (en) 2001-04-09 2002-08-13 Ethicon Endo-Surgery, Inc. Biopsy instrument with tissue marking element
US6432065B1 (en) 1999-12-17 2002-08-13 Ethicon Endo-Surgery, Inc. Method for using a surgical biopsy system with remote control for selecting and operational mode
US6461352B2 (en) 1999-05-11 2002-10-08 Stryker Corporation Surgical handpiece with self-sealing switch assembly
US6500169B1 (en) 2000-05-15 2002-12-31 Stryker Corporation Powered surgical handpiece with membrane switch
US6610020B2 (en) 2000-10-13 2003-08-26 Ethicon Endo-Surgery, Inc. Fork assembly for a surgical biopsy device
US6620111B2 (en) 2001-04-20 2003-09-16 Ethicon Endo-Surgery, Inc. Surgical biopsy device having automatic rotation of the probe for taking multiple samples
US20030199856A1 (en) * 2002-04-22 2003-10-23 Richard Wolf Gmbh Coding system for the identification of tools
US6656133B2 (en) 2000-10-13 2003-12-02 Ethicon Endo-Surgery, Inc. Transmission assembly for a surgical biopsy device
US20040255409A1 (en) * 2001-12-04 2004-12-23 Alexander Hilscher Dental cleaning device
US20050000044A1 (en) * 2001-03-14 2005-01-06 Braun Gmbh Method and device for cleaning teeth
US20050011025A1 (en) * 2000-03-17 2005-01-20 Braun Gmbh Dental cleaning device
WO2006102124A3 (en) * 2005-03-17 2007-03-15 Stryker Corp Surgical tool arrangement
US20070179477A1 (en) * 2006-01-12 2007-08-02 Karl-Heinz Danger Surgical coupling device
US20080138854A1 (en) * 2006-12-12 2008-06-12 Biopath Automation, L.L.C. Biopsy support with sectionable resilient cellular material
US20080146965A1 (en) * 2003-08-11 2008-06-19 Salvatore Privitera Surgical Device for The Collection of Soft Tissue
US20080195066A1 (en) * 2006-12-13 2008-08-14 Speeg Trevor W V Revolving Tissue Sample Holder For Biopsy Device
US20080200836A1 (en) * 2006-12-13 2008-08-21 Speeg Trevor W V Biopsy Device With Motorized Needle Cocking
US20080214955A1 (en) * 2006-12-13 2008-09-04 Speeg Trevor W V Presentation of Biopsy Sample By Biopsy Device
US20080215056A1 (en) * 2002-05-31 2008-09-04 Miller Larry J Powered Drivers, Intraosseous Devices And Methods To Access Bone Marrow
US20080228103A1 (en) * 2006-12-13 2008-09-18 Ritchie Paul G Vacuum Timing Algorithm For Biopsy Device
US20090088664A1 (en) * 2007-10-01 2009-04-02 Miller Michael E Surgical device and method for using same
US20090131822A1 (en) * 2007-11-20 2009-05-21 Hibner John A Biopsy Device With Sharps Reduction Feature
US20090131818A1 (en) * 2007-11-20 2009-05-21 Speeg Trevor W V Biopsy Device Tissue Sample Holder Rotation Control
US20090131824A1 (en) * 2007-11-20 2009-05-21 Andrisek John R Biopsy Device With Fine Pitch Drive Train
US20090131816A1 (en) * 2006-12-13 2009-05-21 Ritchie Paul G Engagement Interface For Biopsy System Vacuum Module
US20090131819A1 (en) * 2007-11-20 2009-05-21 Ritchie Paul G User Interface On Biopsy Device
US20090131823A1 (en) * 2007-11-20 2009-05-21 Andreyko Michael J Biopsy Device With Illuminated Tissue Holder
US20090131820A1 (en) * 2007-11-20 2009-05-21 Speeg Trevor W V Icon-Based User Interface On Biopsy System Control Module
US20090228030A1 (en) * 2008-03-07 2009-09-10 Medtronic Xomed, Inc. Systems and methods for surgical removal of tissue
US20090240272A1 (en) * 2008-03-20 2009-09-24 Medtronic Xomed, Inc. Control For A Powered Surgical Instrument
US20100069940A1 (en) * 2008-09-12 2010-03-18 Miller Matthew C Ultrasonic Device for Fingertip Control
US20100160824A1 (en) * 2008-12-18 2010-06-24 Parihar Shailendra K Biopsy Device with Discrete Tissue Chambers
US20100191266A1 (en) * 2009-01-28 2010-07-29 Medtronic Xomed, Inc. Systems and methods for surgical removal of brain tumors
US20100299856A1 (en) * 2007-05-15 2010-12-02 Rudolf Majthan Toothbrush attachment and method for the production thereof
US20110066156A1 (en) * 2009-09-14 2011-03-17 Warsaw Orthopedic, Inc. Surgical Tool
US20110122987A1 (en) * 2004-12-23 2011-05-26 Braun Gmbh Replaceable Accessory for a Small Electrical Appliance and Method of Monitoring the Usage of the Accessory
US20110125177A1 (en) * 2008-09-23 2011-05-26 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US20110213391A1 (en) * 2010-02-26 2011-09-01 Cardiovascular Systems, Inc. Rotational atherectomy device with electric motor
US20110295269A1 (en) * 2008-09-23 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical instrument
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US8113410B2 (en) 2008-02-14 2012-02-14 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features
US8157153B2 (en) 2006-01-31 2012-04-17 Ethicon Endo-Surgery, Inc. Surgical instrument with force-feedback capabilities
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US8186560B2 (en) 2007-03-15 2012-05-29 Ethicon Endo-Surgery, Inc. Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features
US8196796B2 (en) 2007-06-04 2012-06-12 Ethicon Endo-Surgery, Inc. Shaft based rotary drive system for surgical instruments
US8196795B2 (en) 2008-02-14 2012-06-12 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US8317070B2 (en) 2005-08-31 2012-11-27 Ethicon Endo-Surgery, Inc. Surgical stapling devices that produce formed staples having different lengths
US8348131B2 (en) 2006-09-29 2013-01-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical indicator to show levels of tissue compression
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US8424740B2 (en) 2007-06-04 2013-04-23 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US8443476B2 (en) 2001-12-04 2013-05-21 Braun Gmbh Dental cleaning device
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8464923B2 (en) 2005-08-31 2013-06-18 Ethicon Endo-Surgery, Inc. Surgical stapling devices for forming staples with different formed heights
US8479969B2 (en) 2007-01-10 2013-07-09 Ethicon Endo-Surgery, Inc. Drive interface for operably coupling a manipulatable surgical tool to a robot
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US8540128B2 (en) 2007-01-11 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with a curved end effector
US8558430B2 (en) 2010-08-19 2013-10-15 Braun Gmbh Resonant motor unit and electric device with resonant motor unit
US8567656B2 (en) 2005-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8573461B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with cam-driven staple deployment arrangements
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8602287B2 (en) 2008-09-23 2013-12-10 Ethicon Endo-Surgery, Inc. Motor driven surgical cutting instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US8616431B2 (en) 2007-06-04 2013-12-31 Ethicon Endo-Surgery, Inc. Shiftable drive interface for robotically-controlled surgical tool
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US8631532B2 (en) 2011-07-25 2014-01-21 Braun Gmbh Oral hygiene device
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US8783541B2 (en) 2003-05-20 2014-07-22 Frederick E. Shelton, IV Robotically-controlled surgical end effector system
US8789741B2 (en) 2010-09-24 2014-07-29 Ethicon Endo-Surgery, Inc. Surgical instrument with trigger assembly for generating multiple actuation motions
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US8808200B2 (en) 2007-10-01 2014-08-19 Suros Surgical Systems, Inc. Surgical device and method of using same
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8844789B2 (en) 2006-01-31 2014-09-30 Ethicon Endo-Surgery, Inc. Automated end effector component reloading system for use with a robotic system
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US8911471B2 (en) 2006-03-23 2014-12-16 Ethicon Endo-Surgery, Inc. Articulatable surgical device
US8932233B2 (en) 2004-05-21 2015-01-13 Devicor Medical Products, Inc. MRI biopsy device
US20150073357A1 (en) * 2007-06-29 2015-03-12 Actuated Medical, Inc. Device and Method for Less Forceful Tissue Puncture
US8978954B2 (en) 2010-09-30 2015-03-17 Ethicon Endo-Surgery, Inc. Staple cartridge comprising an adjustable distal portion
US20150076127A1 (en) * 2009-07-06 2015-03-19 Lincoln Global, Inc. Synergistic welding and electrode selection and identification method
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US9005230B2 (en) * 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US9099939B2 (en) 2011-07-25 2015-08-04 Braun Gmbh Linear electro-polymer motors and devices having the same
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US9107688B2 (en) 2008-09-12 2015-08-18 Ethicon Endo-Surgery, Inc. Activation feature for surgical instrument with pencil grip
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US9138225B2 (en) 2007-06-22 2015-09-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US9204878B2 (en) 2008-02-14 2015-12-08 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9220500B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising structure to produce a resilient load
US9226808B2 (en) 2011-07-25 2016-01-05 Braun Gmbh Attachment section for an oral hygiene device
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
JP2016503716A (en) * 2013-01-18 2016-02-08 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. Motorized surgical instrument
US9272406B2 (en) 2010-09-30 2016-03-01 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a cutting member for releasing a tissue thickness compensator
US9282966B2 (en) 2004-07-28 2016-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US9283054B2 (en) 2013-08-23 2016-03-15 Ethicon Endo-Surgery, Llc Interactive displays
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US9307986B2 (en) 2013-03-01 2016-04-12 Ethicon Endo-Surgery, Llc Surgical instrument soft stop
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9320521B2 (en) 2006-06-27 2016-04-26 Ethicon Endo-Surgery, Llc Surgical instrument
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US9332987B2 (en) 2013-03-14 2016-05-10 Ethicon Endo-Surgery, Llc Control arrangements for a drive member of a surgical instrument
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US9354636B2 (en) 2013-03-15 2016-05-31 Regal Beloit America, Inc. User-interface for pump system
US9358005B2 (en) 2010-09-30 2016-06-07 Ethicon Endo-Surgery, Llc End effector layer including holding features
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US9387502B2 (en) 2013-03-15 2016-07-12 Regal Beloit America, Inc. Schedule advance for pump motor controller
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US9393015B2 (en) 2009-02-06 2016-07-19 Ethicon Endo-Surgery, Llc Motor driven surgical fastener device with cutting member reversing mechanism
US9402619B2 (en) 1996-11-22 2016-08-02 Intuitive Surgical Operation, Inc. Rigidly-linked articulating wrist with decoupled motion transmission
US9427279B2 (en) 2009-02-26 2016-08-30 Stryker Corporation Surgical tool arrangement having a handpiece usable with multiple surgical tools
USD766433S1 (en) 2013-11-04 2016-09-13 Cardiovascular Systems, Inc. Eccentric crown
US9468457B2 (en) 2013-09-30 2016-10-18 Cardiovascular Systems, Inc. Atherectomy device with eccentric crown
US9486214B2 (en) 2009-02-06 2016-11-08 Ethicon Endo-Surgery, Llc Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US20170056119A1 (en) * 1999-06-02 2017-03-02 Covidien Lp Shaft, e.g., for an electro-mechanical surgical device
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US9597075B2 (en) 2010-07-30 2017-03-21 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9638770B2 (en) 2004-05-21 2017-05-02 Devicor Medical Products, Inc. MRI biopsy apparatus incorporating an imageable penetrating portion
US9649110B2 (en) 2013-04-16 2017-05-16 Ethicon Llc Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output
US9690362B2 (en) 2014-03-26 2017-06-27 Ethicon Llc Surgical instrument control circuit having a safety processor
US9693777B2 (en) 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
US9724094B2 (en) 2014-09-05 2017-08-08 Ethicon Llc Adjunct with integrated sensors to quantify tissue compression
US9724098B2 (en) 2012-03-28 2017-08-08 Ethicon Endo-Surgery, Llc Staple cartridge comprising an implantable layer
US9743929B2 (en) 2014-03-26 2017-08-29 Ethicon Llc Modular powered surgical instrument with detachable shaft assemblies
US9743928B2 (en) 2006-01-31 2017-08-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US9795382B2 (en) 2005-08-31 2017-10-24 Ethicon Llc Fastener cartridge assembly comprising a cam and driver arrangement
US9795365B2 (en) 2004-05-21 2017-10-24 Devicor Medical Products, Inc. MRI biopsy apparatus incorporating a sleeve and multi-function obturator
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9801627B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Fastener cartridge for creating a flexible staple line
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9814462B2 (en) 2010-09-30 2017-11-14 Ethicon Llc Assembly for fastening tissue comprising a compressible layer
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US9826978B2 (en) 2010-09-30 2017-11-28 Ethicon Llc End effectors with same side closure and firing motions
US9833241B2 (en) 2014-04-16 2017-12-05 Ethicon Llc Surgical fastener cartridges with driver stabilizing arrangements
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US9885351B2 (en) 2013-03-15 2018-02-06 Regal Beloit America, Inc. System and method of controlling a pump system using integrated digital inputs
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US9895147B2 (en) 2005-11-09 2018-02-20 Ethicon Llc End effectors for surgical staplers
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US9931118B2 (en) 2015-02-27 2018-04-03 Ethicon Endo-Surgery, Llc Reinforced battery for a surgical instrument
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US9987468B2 (en) 2007-06-29 2018-06-05 Actuated Medical, Inc. Reduced force device for intravascular access and guidewire placement
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10004498B2 (en) 2006-01-31 2018-06-26 Ethicon Llc Surgical instrument comprising a plurality of articulation joints
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US10052102B2 (en) 2015-06-18 2018-08-21 Ethicon Llc Surgical end effectors with dual cam actuated jaw closing features
US10052122B2 (en) 2014-01-17 2018-08-21 Cardiovascular Systems, Inc. Spin-to-open atherectomy device with electric motor control
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10070871B2 (en) 2009-09-14 2018-09-11 Warsaw Orthopedic, Inc. Surgical tool
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
US10098642B2 (en) 2015-08-26 2018-10-16 Ethicon Llc Surgical staples comprising features for improved fastening of tissue
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US10172619B2 (en) 2015-09-02 2019-01-08 Ethicon Llc Surgical staple driver arrays
US10172620B2 (en) 2015-09-30 2019-01-08 Ethicon Llc Compressible adjuncts with bonding nodes
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US10206676B2 (en) 2008-02-14 2019-02-19 Ethicon Llc Surgical cutting and fastening instrument
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US10226249B2 (en) 2013-03-01 2019-03-12 Ethicon Llc Articulatable surgical instruments with conductive pathways for signal communication
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US10245029B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instrument with articulating and axially translatable end effector
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US10258336B2 (en) 2008-09-19 2019-04-16 Ethicon Llc Stapling system configured to produce different formed staple heights
US20190115168A1 (en) * 2016-04-07 2019-04-18 Gyrus ACMI, Inc. d.b.a. Olympus Surgical Technolog America Electronic Switch Mechanism
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US10265065B2 (en) 2013-12-23 2019-04-23 Ethicon Llc Surgical staples and staple cartridges
US10271849B2 (en) 2015-09-30 2019-04-30 Ethicon Llc Woven constructs with interlocked standing fibers
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
US10293100B2 (en) 2004-07-28 2019-05-21 Ethicon Llc Surgical stapling instrument having a medical substance dispenser
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10376263B2 (en) 2016-04-01 2019-08-13 Ethicon Llc Anvil modification members for surgical staplers
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10398433B2 (en) 2007-03-28 2019-09-03 Ethicon Llc Laparoscopic clamp load measuring devices
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10413294B2 (en) 2012-06-28 2019-09-17 Ethicon Llc Shaft assembly arrangements for surgical instruments
US10426481B2 (en) 2014-02-24 2019-10-01 Ethicon Llc Implantable layer assemblies
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10448950B2 (en) 2016-12-21 2019-10-22 Ethicon Llc Surgical staplers with independently actuatable closing and firing systems
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
US10492785B2 (en) 2016-12-21 2019-12-03 Ethicon Llc Shaft assembly comprising a lockout
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US10499890B2 (en) 2006-01-31 2019-12-10 Ethicon Llc Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US10499914B2 (en) 2016-12-21 2019-12-10 Ethicon Llc Staple forming pocket arrangements
US10517596B2 (en) 2016-12-21 2019-12-31 Ethicon Llc Articulatable surgical instruments with articulation stroke amplification features
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US10537325B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Staple forming pocket arrangement to accommodate different types of staples
US10537324B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Stepped staple cartridge with asymmetrical staples
US10542979B2 (en) 2016-06-24 2020-01-28 Ethicon Llc Stamped staples and staple cartridges using the same
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US10568626B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaw opening features for increasing a jaw opening distance
US10575868B2 (en) 2013-03-01 2020-03-03 Ethicon Llc Surgical instrument with coupler assembly
US10588633B2 (en) 2017-06-28 2020-03-17 Ethicon Llc Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US10595831B2 (en) 2012-05-30 2020-03-24 Devicor Medical Products, Inc. Control for biopsy device
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US10617418B2 (en) 2015-08-17 2020-04-14 Ethicon Llc Implantable layers for a surgical instrument
US20200113580A1 (en) * 2016-09-28 2020-04-16 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Electromechanical Slider Valve Suction Controller
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
US10667809B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Staple cartridge and staple cartridge channel comprising windows defined therein
US10675028B2 (en) 2006-01-31 2020-06-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US10682134B2 (en) 2017-12-21 2020-06-16 Ethicon Llc Continuous use self-propelled stapling instrument
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US10695062B2 (en) 2010-10-01 2020-06-30 Ethicon Llc Surgical instrument including a retractable firing member
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10743851B2 (en) 2008-02-14 2020-08-18 Ethicon Llc Interchangeable tools for surgical instruments
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
USD894389S1 (en) 2016-06-24 2020-08-25 Ethicon Llc Surgical fastener
US10751076B2 (en) 2009-12-24 2020-08-25 Ethicon Llc Motor-driven surgical cutting instrument with electric actuator directional control assembly
US10758233B2 (en) 2009-02-05 2020-09-01 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US10758229B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument comprising improved jaw control
US10758230B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument with primary and safety processors
US10765424B2 (en) 2008-02-13 2020-09-08 Ethicon Llc Surgical stapling instrument
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10779824B2 (en) 2017-06-28 2020-09-22 Ethicon Llc Surgical instrument comprising an articulation system lockable by a closure system
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
EP3738531A1 (en) * 2010-02-11 2020-11-18 Ethicon LLC Ultrasonically powered surgical instruments with rotating cutting implement
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US20200397439A1 (en) * 2019-06-21 2020-12-24 Covidien Lp Reload assembly injection molded strain gauge
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US10925599B2 (en) 2013-12-23 2021-02-23 Ethicon Llc Modular surgical instruments
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10940292B2 (en) 2015-07-08 2021-03-09 Actuated Medical, Inc. Reduced force device for intravascular access and guidewire placement
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
JP2021509081A (en) * 2018-01-02 2021-03-18 ボストン サイエンティフィック リミテッド Atherosclerosis system
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10973545B2 (en) 2002-05-31 2021-04-13 Teleflex Life Sciences Limited Powered drivers, intraosseous devices and methods to access bone marrow
US10973532B2 (en) 2002-05-31 2021-04-13 Teleflex Life Sciences Limited Powered drivers, intraosseous devices and methods to access bone marrow
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US10987102B2 (en) 2010-09-30 2021-04-27 Ethicon Llc Tissue thickness compensator comprising a plurality of layers
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US11013511B2 (en) 2007-06-22 2021-05-25 Ethicon Llc Surgical stapling instrument with an articulatable end effector
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US11020109B2 (en) 2013-12-23 2021-06-01 Ethicon Llc Surgical stapling assembly for use with a powered surgical interface
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11051813B2 (en) 2006-01-31 2021-07-06 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US11071545B2 (en) 2014-09-05 2021-07-27 Cilag Gmbh International Smart cartridge wake up operation and data retention
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11123065B2 (en) 2013-12-23 2021-09-21 Cilag Gmbh International Surgical cutting and stapling instruments with independent jaw control features
US11133106B2 (en) 2013-08-23 2021-09-28 Cilag Gmbh International Surgical instrument assembly comprising a retraction assembly
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11179141B2 (en) 2006-12-13 2021-11-23 Devicor Medical Products, Inc. Biopsy system
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US11202633B2 (en) 2014-09-26 2021-12-21 Cilag Gmbh International Surgical stapling buttresses and adjunct materials
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US11213295B2 (en) 2015-09-02 2022-01-04 Cilag Gmbh International Surgical staple configurations with camming surfaces located between portions supporting surgical staples
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11219456B2 (en) 2015-08-26 2022-01-11 Cilag Gmbh International Surgical staple strips for permitting varying staple properties and enabling easy cartridge loading
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US11224428B2 (en) 2016-12-21 2022-01-18 Cilag Gmbh International Surgical stapling systems
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11234683B2 (en) 2002-05-31 2022-02-01 Teleflex Life Sciences Limited Assembly for coupling powered driver with intraosseous device
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11241230B2 (en) 2012-06-28 2022-02-08 Cilag Gmbh International Clip applier tool for use with a robotic surgical system
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US11259799B2 (en) 2014-03-26 2022-03-01 Cilag Gmbh International Interface systems for use with surgical instruments
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US11266409B2 (en) 2014-04-16 2022-03-08 Cilag Gmbh International Fastener cartridge comprising a sled including longitudinally-staggered ramps
US11266441B2 (en) 2002-05-31 2022-03-08 Teleflex Life Sciences Limited Penetrator assembly for accessing bone marrow
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US11284898B2 (en) 2014-09-18 2022-03-29 Cilag Gmbh International Surgical instrument including a deployable knife
US11291449B2 (en) 2009-12-24 2022-04-05 Cilag Gmbh International Surgical cutting instrument that analyzes tissue thickness
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US11317913B2 (en) 2016-12-21 2022-05-03 Cilag Gmbh International Lockout arrangements for surgical end effectors and replaceable tool assemblies
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11324521B2 (en) 2002-05-31 2022-05-10 Teleflex Life Sciences Limited Apparatus and method to access bone marrow
US11337728B2 (en) 2002-05-31 2022-05-24 Teleflex Life Sciences Limited Powered drivers, intraosseous devices and methods to access bone marrow
US11350928B2 (en) 2016-04-18 2022-06-07 Cilag Gmbh International Surgical instrument comprising a tissue thickness lockout and speed control system
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US11382627B2 (en) 2014-04-16 2022-07-12 Cilag Gmbh International Surgical stapling assembly comprising a firing member including a lateral extension
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11426249B2 (en) 2006-09-12 2022-08-30 Teleflex Life Sciences Limited Vertebral access system and methods
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11464513B2 (en) 2012-06-28 2022-10-11 Cilag Gmbh International Surgical instrument system including replaceable end effectors
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US11523823B2 (en) 2016-02-09 2022-12-13 Cilag Gmbh International Surgical instruments with non-symmetrical articulation arrangements
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US11571215B2 (en) 2010-09-30 2023-02-07 Cilag Gmbh International Layer of material for a surgical end effector
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11622763B2 (en) 2013-04-16 2023-04-11 Cilag Gmbh International Stapling assembly comprising a shiftable drive
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11638582B2 (en) 2020-07-28 2023-05-02 Cilag Gmbh International Surgical instruments with torsion spine drive arrangements
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11678877B2 (en) 2014-12-18 2023-06-20 Cilag Gmbh International Surgical instrument including a flexible support configured to support a flexible firing member
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US11690619B2 (en) 2016-06-24 2023-07-04 Cilag Gmbh International Staple cartridge comprising staples having different geometries
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11717294B2 (en) 2014-04-16 2023-08-08 Cilag Gmbh International End effector arrangements comprising indicators
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11723662B2 (en) 2021-05-28 2023-08-15 Cilag Gmbh International Stapling instrument comprising an articulation control display
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11759271B2 (en) 2017-04-28 2023-09-19 Stryker Corporation System and method for indicating mapping of console-based surgical systems
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11766260B2 (en) 2016-12-21 2023-09-26 Cilag Gmbh International Methods of stapling tissue
US11766259B2 (en) 2016-12-21 2023-09-26 Cilag Gmbh International Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US11771439B2 (en) 2007-04-04 2023-10-03 Teleflex Life Sciences Limited Powered driver
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11793522B2 (en) 2015-09-30 2023-10-24 Cilag Gmbh International Staple cartridge assembly including a compressible adjunct
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11826132B2 (en) 2015-03-06 2023-11-28 Cilag Gmbh International Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11826048B2 (en) 2017-06-28 2023-11-28 Cilag Gmbh International Surgical instrument comprising selectively actuatable rotatable couplers
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11883026B2 (en) 2014-04-16 2024-01-30 Cilag Gmbh International Fastener cartridge assemblies and staple retainer cover arrangements
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
USD1018577S1 (en) 2020-11-11 2024-03-19 Cilag Gmbh International Display screen or portion thereof with a graphical user interface for a surgical instrument

Families Citing this family (86)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5217478A (en) * 1987-02-18 1993-06-08 Linvatec Corporation Arthroscopic surgical instrument drive system
US5697882A (en) 1992-01-07 1997-12-16 Arthrocare Corporation System and method for electrosurgical cutting and ablation
US5672945A (en) * 1992-04-13 1997-09-30 Smith & Nephew Endoscopy, Inc. Motor controlled surgical system and method having self clearing motor control
US5602449A (en) * 1992-04-13 1997-02-11 Smith & Nephew Endoscopy, Inc. Motor controlled surgical system and method having positional control
US5489291A (en) * 1994-02-23 1996-02-06 Wiley; Roy C. Apparatus for removing tissue during surgical procedures
US5667509A (en) * 1995-03-02 1997-09-16 Westin; Craig D. Retractable shield apparatus and method for a bone drill
WO1996039957A1 (en) * 1995-06-07 1996-12-19 Duke University Oscillatory coupling for surgical instruments and methods of imparting oscillatory motion thereto
US5749885A (en) * 1995-10-02 1998-05-12 Smith & Nephew, Inc. Surgical instrument with embedded coding element
US5848978A (en) * 1995-11-14 1998-12-15 Genx International, Inc. Surgical biopsy device
US6805130B2 (en) * 1995-11-22 2004-10-19 Arthrocare Corporation Methods for electrosurgical tendon vascularization
US6017354A (en) 1996-08-15 2000-01-25 Stryker Corporation Integrated system for powered surgical tools
US5913867A (en) * 1996-12-23 1999-06-22 Smith & Nephew, Inc. Surgical instrument
US5803733A (en) 1997-05-06 1998-09-08 Linvatec Corporation Pneumatic surgical handpiece and method
DE19733501A1 (en) * 1997-08-01 1999-02-18 Karl Dr Behr Tool operating device, in particular for the dental field
US6053923A (en) * 1998-03-17 2000-04-25 Arthrotek, Inc. Method and apparatus for abrading tissue
AU2125499A (en) * 1998-03-30 1999-10-14 Ethicon Endo-Surgery, Inc. Methods and apparatus to recognize surgical apparatus
US6132448A (en) * 1998-06-19 2000-10-17 Stryker Corporation Endoscopic irrigated bur
US5951561A (en) * 1998-06-30 1999-09-14 Smith & Nephew, Inc. Minimally invasive intramedullary nail insertion instruments and method
US7276063B2 (en) 1998-08-11 2007-10-02 Arthrocare Corporation Instrument for electrosurgical tissue treatment
US6245084B1 (en) 1998-10-20 2001-06-12 Promex, Inc. System for controlling a motor driven surgical cutting instrument
US6689146B1 (en) * 1999-04-29 2004-02-10 Stryker Corporation Powered surgical handpiece with integrated irrigator and suction application
US6443973B1 (en) * 1999-06-02 2002-09-03 Power Medical Interventions, Inc. Electromechanical driver device for use with anastomosing, stapling, and resecting instruments
WO2001050973A1 (en) * 1999-12-24 2001-07-19 Lee Hee Young Mandibular angle fracture operating method and its devices
US6638289B1 (en) * 2000-10-16 2003-10-28 Stryker Corporation Elongated endoscopic cutting accessories
US6517560B1 (en) 2000-11-27 2003-02-11 Duke University Hand-held surgical instruments employing magnetic couplings for simultaneous rotary and longitudinal oscillations of distal workpieces
US6478681B1 (en) 2000-11-27 2002-11-12 Duke University Magnetic couplings for imparting simultaneous rotary and longitudinal oscillations
JP4215162B2 (en) * 2001-08-08 2009-01-28 ストライカー・コーポレーション Surgical cutting accessory with internal memory
US6958071B2 (en) * 2002-07-13 2005-10-25 Stryker Corporation Surgical tool system
US7237990B2 (en) 2002-08-08 2007-07-03 Stryker Corporation Surgical tool system with quick release coupling assembly
US7887559B2 (en) 2002-08-08 2011-02-15 Stryker Corporation Surgical cutting accessory with encapsulated RFID chip
US20040092992A1 (en) * 2002-10-23 2004-05-13 Kenneth Adams Disposable battery powered rotary tissue cutting instruments and methods therefor
EP1651127B1 (en) * 2003-07-16 2012-10-31 Arthrocare Corporation Rotary electrosurgical apparatus
EP1514518A1 (en) * 2003-09-11 2005-03-16 SDGI Holdings, Inc. Impulsive percussion instruments for endplate preparation
CN101090677A (en) * 2004-07-27 2007-12-19 生物激光科技公司 Identification connector for a medical laser handpiece
US20080154251A1 (en) * 2004-09-09 2008-06-26 Reliant Technologies, Inc. Interchangeable Tips for Medical Laser Treatments and Methods for Using Same
US20060095096A1 (en) * 2004-09-09 2006-05-04 Debenedictis Leonard C Interchangeable tips for medical laser treatments and methods for using same
FR2881341B1 (en) 2005-02-02 2007-05-11 Satelec Sa DENTAL TREATMENT APPARATUS WITH AUTOMATIC INSERT RECOGNITION
US20060229624A1 (en) * 2005-03-31 2006-10-12 Zimmer Technology, Inc. Orthopaedic cutting instrument and method
US20060259055A1 (en) * 2005-05-13 2006-11-16 Linvatec Corporation Attachments for arthroscopic shaver handpieces
US20070029363A1 (en) * 2005-08-07 2007-02-08 Sergey Popov Surgical apparatus with remote drive
US20070055259A1 (en) * 2005-08-17 2007-03-08 Norton Britt K Apparatus and methods for removal of intervertebral disc tissues
WO2008033983A1 (en) 2006-09-13 2008-03-20 Vascular Insights Llc Vascular treatment device
US7969715B2 (en) * 2007-11-13 2011-06-28 Eikon Device Inc. Power supply for a tattoo machine
US8747400B2 (en) * 2008-08-13 2014-06-10 Arthrocare Corporation Systems and methods for screen electrode securement
US9662163B2 (en) 2008-10-21 2017-05-30 Hermes Innovations Llc Endometrial ablation devices and systems
US8821486B2 (en) 2009-11-13 2014-09-02 Hermes Innovations, LLC Tissue ablation systems and methods
US8355799B2 (en) 2008-12-12 2013-01-15 Arthrocare Corporation Systems and methods for limiting joint temperature
US9005203B2 (en) 2009-09-24 2015-04-14 Imds, Llc Reciprocating surgical instruments
US9198675B2 (en) 2009-09-24 2015-12-01 Imds Llc Reciprocating surgical instrument
WO2011037653A1 (en) * 2009-09-24 2011-03-31 Medicinelodge, Inc. Dab Imds Co-Innovation Surgical rasping systems and methods
US9033986B2 (en) 2009-09-24 2015-05-19 Imds, Llc Reciprocating surgical instrument
US8323279B2 (en) 2009-09-25 2012-12-04 Arthocare Corporation System, method and apparatus for electrosurgical instrument with movable fluid delivery sheath
US8317786B2 (en) 2009-09-25 2012-11-27 AthroCare Corporation System, method and apparatus for electrosurgical instrument with movable suction sheath
US11896282B2 (en) 2009-11-13 2024-02-13 Hermes Innovations Llc Tissue ablation systems and method
US8696659B2 (en) 2010-04-30 2014-04-15 Arthrocare Corporation Electrosurgical system and method having enhanced temperature measurement
US8273097B2 (en) 2010-04-30 2012-09-25 Medtronic Xomed, Inc. Powered surgical tissue cutting instrument having an irrigation system
GB2480846B (en) * 2010-06-03 2017-04-19 Biomet Uk Healthcare Ltd Guiding tool
US8529567B2 (en) 2010-06-03 2013-09-10 Biomet Microfixation, Llc Surgical device with smart bit recognition collet assembly to set a desired application mode
US9585667B2 (en) 2010-11-15 2017-03-07 Vascular Insights Llc Sclerotherapy catheter with lumen having wire rotated by motor and simultaneous withdrawal from vein
DE102011001265A1 (en) * 2011-03-14 2012-09-20 Aesculap Ag Adjustable suction shaver
EP2731517A2 (en) 2011-07-11 2014-05-21 Medical Vision Research & Development AB Status control for electrically powered surgical tool systems
KR101151659B1 (en) * 2012-02-15 2012-06-08 (주)인투케어 Device for mechnical surgical procedures
US9232958B2 (en) 2012-05-16 2016-01-12 Smith & Nephew, Inc. Reusable blade hub assembly
US9883881B2 (en) 2012-05-31 2018-02-06 Nico Corporation Motor driven surgical instrument with fluid control circuit
WO2015009850A1 (en) 2013-07-19 2015-01-22 Pro-Dex, Inc. Torque-limiting screwdrivers
US9649125B2 (en) 2013-10-15 2017-05-16 Hermes Innovations Llc Laparoscopic device
US9526556B2 (en) 2014-02-28 2016-12-27 Arthrocare Corporation Systems and methods systems related to electrosurgical wands with screen electrodes
CN106102634B (en) 2014-03-17 2019-11-15 直观外科手术操作公司 The related system and method for surgical cannulae and for identification surgical cannulae
US9597142B2 (en) 2014-07-24 2017-03-21 Arthrocare Corporation Method and system related to electrosurgical procedures
US9649148B2 (en) 2014-07-24 2017-05-16 Arthrocare Corporation Electrosurgical system and method having enhanced arc prevention
CN107708591B (en) 2015-04-29 2020-09-29 席勒斯科技有限公司 Medical ablation device and method of use
US10405855B2 (en) * 2015-06-26 2019-09-10 Ethicon Llc Firing circuit for surgical stapler
US10052149B2 (en) 2016-01-20 2018-08-21 RELIGN Corporation Arthroscopic devices and methods
US20170231718A1 (en) * 2016-02-17 2017-08-17 Peter Wohrle System and Method for Guiding Medical Instruments
EP3445258A4 (en) 2016-04-22 2019-12-04 Relign Corporation Arthroscopic devices and methods
US10383674B2 (en) 2016-06-07 2019-08-20 Pro-Dex, Inc. Torque-limiting screwdriver devices, systems, and methods
US20180000534A1 (en) 2016-07-01 2018-01-04 RELIGN Corporation Arthroscopic devices and methods
US10434024B2 (en) 2016-08-15 2019-10-08 Kavo Dental Technologies, Llc Modular dental tool and docking station
WO2018140066A1 (en) * 2017-01-25 2018-08-02 Covidien Lp Circular stapling device and method of use
US11896239B2 (en) 2017-08-17 2024-02-13 Stryker Corporation Surgical handpiece system for depth measurement and related accessories
BR112020013122A2 (en) * 2017-12-28 2020-12-01 Ethicon Llc surgical instrument comprising a control system that uses signals from a strain gauge circuit
CN116370105A (en) 2018-08-20 2023-07-04 普罗德克斯有限公司 Torque limiting device, system and method
US11554214B2 (en) 2019-06-26 2023-01-17 Meditrina, Inc. Fluid management system
US11853835B2 (en) 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
US11361176B2 (en) 2019-06-28 2022-06-14 Cilag Gmbh International Surgical RFID assemblies for compatibility detection
US11202686B2 (en) * 2019-08-21 2021-12-21 Ethicon LLC. Manual knife bailout monitoring using inductive coupling

Citations (39)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1201365A (en) * 1914-04-04 1916-10-17 William Gentry Shelton Dental hand-engine.
US1977263A (en) * 1931-07-13 1934-10-16 Leslie K Campbell Dental hand piece
US2637824A (en) * 1945-05-25 1953-05-05 Dormeyer Corp Food mixer power unit
US2754464A (en) * 1954-01-13 1956-07-10 Siemens Ag Measuring and control device for dynamoelectric machines
DE1036465B (en) * 1957-07-10 1958-08-14 Erich H Kopp Device for dental purposes
CH373518A (en) * 1959-11-07 1963-11-30 Dent Bohren Hans Dr Med Dental drill
DE1192365B (en) * 1962-11-23 1965-05-06 Dentaltechnik Veb Handpiece for dental drill
US3346958A (en) * 1963-12-06 1967-10-17 Star Dental Mfg Company Inc Finger control for dental handpiece
US3427720A (en) * 1963-10-25 1969-02-18 Herbert Berman Hand drilling apparatus
US3673357A (en) * 1971-03-29 1972-06-27 Bell Telephone Labor Inc Tactile response switch with unitary control strip of independently operably plural disc contacts
US3699294A (en) * 1971-05-18 1972-10-17 Flex Key Corp Keyboard, digital coding, switch for digital logic, and low power detector switches
US3734099A (en) * 1971-04-07 1973-05-22 H Bender Powered surgical cutter
US3848336A (en) * 1973-07-02 1974-11-19 J Copeland Dental instrument
US3921298A (en) * 1974-03-26 1975-11-25 John B Fattaleh Dental and surgical appliance
US3959883A (en) * 1973-07-23 1976-06-01 Walls Earl L Hand control system for power hand tools
FR2304955A1 (en) * 1975-03-20 1976-10-15 Goof Sven CONTROL DEVICE, IN PARTICULAR USING A FINGER, FOR A HAND HELD INSTRUMENT
US4066855A (en) * 1976-11-22 1978-01-03 Control Data Corporation Vented membrane-type touch panel
US4066851A (en) * 1975-10-30 1978-01-03 Chomerics, Inc. Keyboard switch assembly having foldable printed circuit board, integral spacer and preformed depression-type alignment fold
US4104728A (en) * 1973-06-06 1978-08-01 Sharp Kabushiki Kaisha Electronic apparatus equipped on a flexible substratum
DE2712734A1 (en) * 1977-03-23 1978-09-28 Medtronic Medizinisch Elektron Dental instrument control circuit - has capacitative proximity switch on instrument connected to transistor and differential amplifier arrangement
US4128889A (en) * 1976-06-28 1978-12-05 Hoshidenki-Seizo Kabushiki Kaisha Pen type electronic digital calculator
DE2840623A1 (en) * 1977-11-22 1979-05-23 Medizin Labortechnik Veb K DENTAL ELBOW WITH DIRECT DRIVE
US4216968A (en) * 1978-10-11 1980-08-12 David Yeeda Self-scoring multiple function dart game
US4220815A (en) * 1978-12-04 1980-09-02 Elographics, Inc. Nonplanar transparent electrographic sensor
US4274414A (en) * 1979-02-21 1981-06-23 Dyonics, Inc. Surgical instrument
US4276024A (en) * 1977-03-28 1981-06-30 Cavitron Corporation Control systems for dental handpieces
GB2078006A (en) * 1980-04-17 1981-12-23 Goof Sven Karl Lennart Electric contact switches
DE3122062A1 (en) * 1980-06-06 1982-02-18 Kabushiki Kaisha Morita Seisakusho, Kyoto Cordless handpiece arrangement for dental treatment purposes
US4321441A (en) * 1980-02-04 1982-03-23 Xerox Corporation Keyswitch arrangement
US4320716A (en) * 1979-05-18 1982-03-23 Thomson-Csf Ultra-high frequency device for depositing thin films on solids
US4320767A (en) * 1980-04-07 1982-03-23 Villa Real Antony Euclid C Pocket-size electronic cuffless blood pressure and pulse rate calculator with optional temperature indicator, timer and memory
USRE30923E (en) * 1973-01-02 1982-05-04 Bowmar Instrument Corporation Calculator keyboard switch with disc spring contact and printed circuit board
GB2093353A (en) * 1981-02-25 1982-09-02 Dyonics Inc A surgical instrument for arthroscopic arthroplasty
US4360716A (en) * 1980-10-01 1982-11-23 Texas Instruments Incorporated Area actuated switch array
US4449023A (en) * 1982-12-23 1984-05-15 Amp Incorporated Transparent switch having fine line conductors
US4470414A (en) * 1980-11-04 1984-09-11 Agency Of Industrial Science & Technology Laser surgical knife
US4608215A (en) * 1983-12-23 1986-08-26 Allied Corporation Preparation of ceramics
US4702738A (en) * 1986-05-22 1987-10-27 Spencer Treesa A Disposable hypodermic syringe and needle combination having retractable, accident preventing sheath
US4705038A (en) * 1985-01-23 1987-11-10 Dyonics, Inc. Surgical system for powered instruments

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2086747A5 (en) * 1970-04-07 1971-12-31 Cotton De Bennetot M
US3817237A (en) * 1972-08-24 1974-06-18 Medtronic Inc Regulatory apparatus
US3924631A (en) * 1973-12-06 1975-12-09 Altair Inc Magnetic clamp
US4424030A (en) * 1979-03-12 1984-01-03 Medical Magnetics, Inc. Integrated oral magnetic osteogenic and orthodontic appliances
US4274407A (en) * 1979-11-13 1981-06-23 Med Pump, Inc. Fluid injection system
US4611601A (en) * 1984-02-17 1986-09-16 Transamerica Delaval Inc. Disposable transducer systems
US4593681A (en) * 1985-01-18 1986-06-10 Soni Prasanna L Stabilizing device for use in arthroscopic and endoscopic surgery
DE3564191D1 (en) * 1985-07-05 1988-09-15 Npbi Bv Sterile docking process and apparatus for plastic tube portions or the like
US4817607A (en) * 1986-03-07 1989-04-04 Richards Medical Company Magnetic ossicular replacement prosthesis
US5217478A (en) * 1987-02-18 1993-06-08 Linvatec Corporation Arthroscopic surgical instrument drive system

Patent Citations (41)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1201365A (en) * 1914-04-04 1916-10-17 William Gentry Shelton Dental hand-engine.
US1977263A (en) * 1931-07-13 1934-10-16 Leslie K Campbell Dental hand piece
US2637824A (en) * 1945-05-25 1953-05-05 Dormeyer Corp Food mixer power unit
US2754464A (en) * 1954-01-13 1956-07-10 Siemens Ag Measuring and control device for dynamoelectric machines
DE1036465B (en) * 1957-07-10 1958-08-14 Erich H Kopp Device for dental purposes
CH373518A (en) * 1959-11-07 1963-11-30 Dent Bohren Hans Dr Med Dental drill
DE1192365B (en) * 1962-11-23 1965-05-06 Dentaltechnik Veb Handpiece for dental drill
US3427720A (en) * 1963-10-25 1969-02-18 Herbert Berman Hand drilling apparatus
US3346958A (en) * 1963-12-06 1967-10-17 Star Dental Mfg Company Inc Finger control for dental handpiece
US3673357A (en) * 1971-03-29 1972-06-27 Bell Telephone Labor Inc Tactile response switch with unitary control strip of independently operably plural disc contacts
US3734099A (en) * 1971-04-07 1973-05-22 H Bender Powered surgical cutter
US3699294A (en) * 1971-05-18 1972-10-17 Flex Key Corp Keyboard, digital coding, switch for digital logic, and low power detector switches
USRE30923E (en) * 1973-01-02 1982-05-04 Bowmar Instrument Corporation Calculator keyboard switch with disc spring contact and printed circuit board
US4104728A (en) * 1973-06-06 1978-08-01 Sharp Kabushiki Kaisha Electronic apparatus equipped on a flexible substratum
US3848336A (en) * 1973-07-02 1974-11-19 J Copeland Dental instrument
US3959883A (en) * 1973-07-23 1976-06-01 Walls Earl L Hand control system for power hand tools
US3921298A (en) * 1974-03-26 1975-11-25 John B Fattaleh Dental and surgical appliance
FR2304955A1 (en) * 1975-03-20 1976-10-15 Goof Sven CONTROL DEVICE, IN PARTICULAR USING A FINGER, FOR A HAND HELD INSTRUMENT
US4066851A (en) * 1975-10-30 1978-01-03 Chomerics, Inc. Keyboard switch assembly having foldable printed circuit board, integral spacer and preformed depression-type alignment fold
US4128889A (en) * 1976-06-28 1978-12-05 Hoshidenki-Seizo Kabushiki Kaisha Pen type electronic digital calculator
US4066855A (en) * 1976-11-22 1978-01-03 Control Data Corporation Vented membrane-type touch panel
US4066855B1 (en) * 1976-11-22 1997-05-13 St Clair Intellectual Property Vented membrane-type touch panel
DE2712734A1 (en) * 1977-03-23 1978-09-28 Medtronic Medizinisch Elektron Dental instrument control circuit - has capacitative proximity switch on instrument connected to transistor and differential amplifier arrangement
US4276024A (en) * 1977-03-28 1981-06-30 Cavitron Corporation Control systems for dental handpieces
DE2840623A1 (en) * 1977-11-22 1979-05-23 Medizin Labortechnik Veb K DENTAL ELBOW WITH DIRECT DRIVE
US4216968A (en) * 1978-10-11 1980-08-12 David Yeeda Self-scoring multiple function dart game
US4220815A (en) * 1978-12-04 1980-09-02 Elographics, Inc. Nonplanar transparent electrographic sensor
US4220815B1 (en) * 1978-12-04 1996-09-03 Elographics Inc Nonplanar transparent electrographic sensor
US4274414A (en) * 1979-02-21 1981-06-23 Dyonics, Inc. Surgical instrument
US4320716A (en) * 1979-05-18 1982-03-23 Thomson-Csf Ultra-high frequency device for depositing thin films on solids
US4321441A (en) * 1980-02-04 1982-03-23 Xerox Corporation Keyswitch arrangement
US4320767A (en) * 1980-04-07 1982-03-23 Villa Real Antony Euclid C Pocket-size electronic cuffless blood pressure and pulse rate calculator with optional temperature indicator, timer and memory
GB2078006A (en) * 1980-04-17 1981-12-23 Goof Sven Karl Lennart Electric contact switches
DE3122062A1 (en) * 1980-06-06 1982-02-18 Kabushiki Kaisha Morita Seisakusho, Kyoto Cordless handpiece arrangement for dental treatment purposes
US4360716A (en) * 1980-10-01 1982-11-23 Texas Instruments Incorporated Area actuated switch array
US4470414A (en) * 1980-11-04 1984-09-11 Agency Of Industrial Science & Technology Laser surgical knife
GB2093353A (en) * 1981-02-25 1982-09-02 Dyonics Inc A surgical instrument for arthroscopic arthroplasty
US4449023A (en) * 1982-12-23 1984-05-15 Amp Incorporated Transparent switch having fine line conductors
US4608215A (en) * 1983-12-23 1986-08-26 Allied Corporation Preparation of ceramics
US4705038A (en) * 1985-01-23 1987-11-10 Dyonics, Inc. Surgical system for powered instruments
US4702738A (en) * 1986-05-22 1987-10-27 Spencer Treesa A Disposable hypodermic syringe and needle combination having retractable, accident preventing sheath

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
Dentsphy Cavitron Litturature: Powermatic Ultrasonic dental Unit 1976. *
Dentsphy-Cavitron Litturature: "Powermatic™ Ultrasonic dental Unit" 1976.

Cited By (1504)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5376078A (en) * 1992-12-10 1994-12-27 Linvatec Corporation Rotatable surgical cutting instrument with positionally adjustable window
US5928256A (en) * 1994-05-10 1999-07-27 Riza; Erol D. Motor controlled surgical instrument
EP0700663A3 (en) * 1994-09-09 1996-05-01 Bristol Myers Squibb Co Power-assisted arthroscopic surgical device with suction tube
US5592727A (en) * 1994-09-09 1997-01-14 Linvatec Corporation Method of making arthroscopic shaver with rotatable collet and slide aspiration control valve
EP1166722A1 (en) * 1994-09-09 2002-01-02 Linvatec Corporation Power-assisted arthroscopic surgical device with suction tube
US7044957B2 (en) 1994-09-16 2006-05-16 Ethicon Endo-Surgery, Inc. Devices for defining and marking tissue
US20020026201A1 (en) * 1994-09-16 2002-02-28 Foerster Seth A. Methods for defining and marking tissue
US8277391B2 (en) 1994-09-16 2012-10-02 Devicor Medical Products, Inc. Methods and devices for defining and marking tissue
US5619018A (en) * 1995-04-03 1997-04-08 Compaq Computer Corporation Low weight multilayer printed circuit board
US5871493A (en) * 1995-10-31 1999-02-16 Smith & Nephew Endoscopy Inc. Surgical instrument handpiece and system
JP4495715B2 (en) * 1995-10-31 2010-07-07 スミス アンド ネフュー インコーポレーテッド Surgical devices and instruments
EP0858623A1 (en) * 1995-10-31 1998-08-19 Smith & Nephew, Inc. Motor controlled surgical system
US6328752B1 (en) 1995-10-31 2001-12-11 Smith & Nephew, Inc. Method for positioning a surgical instrument relative to a surgical handpiece
AU707001B2 (en) * 1995-10-31 1999-07-01 Smith & Nephew, Inc. Magnetic switching element for controlling a surgical device
USD388170S (en) * 1995-10-31 1997-12-23 Smith & Nephew Endoscopy, Inc. Surgical handpiece
WO1997016123A1 (en) 1995-10-31 1997-05-09 Smith & Nephew, Inc. Magnetic switching element for controlling a surgical device
US5712543A (en) * 1995-10-31 1998-01-27 Smith & Nephew Endoscopy Inc. Magnetic switching element for controlling a surgical device
EP0858623A4 (en) * 1995-10-31 2000-04-12 Smith & Nephew Inc Motor controlled surgical system
JP2007105485A (en) * 1995-10-31 2007-04-26 Smith & Nephew Inc Surgical apparatus and instrument
US6090122A (en) * 1995-10-31 2000-07-18 Smith & Nephew, Inc. Surgical instrument handpiece and system
WO1997016124A1 (en) * 1995-10-31 1997-05-09 Smith & Nephew, Inc. Surgical instrument handpiece and system
USD381425S (en) * 1995-10-31 1997-07-22 Smith & Nephew Endoscopy Inc. Hub for a surgical instrument
WO1997033523A1 (en) * 1996-03-11 1997-09-18 Medical Scientific, Inc. Electrosurgical rotating cutting device
US5941876A (en) * 1996-03-11 1999-08-24 Medical Scientific, Inc. Electrosurgical rotating cutting device
WO1998014129A1 (en) * 1996-09-30 1998-04-09 Minnesota Mining And Manufacturing Company Powered surgical instruments and control unit
US9402619B2 (en) 1996-11-22 2016-08-02 Intuitive Surgical Operation, Inc. Rigidly-linked articulating wrist with decoupled motion transmission
US6037724A (en) * 1997-05-01 2000-03-14 Osteomed Corporation Electronic controlled surgical power tool
US9433402B2 (en) 1998-10-23 2016-09-06 Devicor Medical Products, Inc. Surgical device for the collection of soft tissue
US10166010B2 (en) 1998-10-23 2019-01-01 Devicor Medical Products, Inc. Surgical device for the collection of soft tissue
US8016844B2 (en) 1998-10-23 2011-09-13 Devicor Medical Products, Inc. Surgical device for the collection of soft tissue
US20110125055A1 (en) * 1998-10-23 2011-05-26 Devicor Medical Products, Inc. Surgical device for the collection of soft tissue
US6273862B1 (en) 1998-10-23 2001-08-14 Ethicon Endo-Surgery, Inc Surgical device for the collection of soft tissue
US8206409B2 (en) 1998-10-23 2012-06-26 Devicor Medical Products, Inc. Surgical device for the collection of soft tissue
US8979768B2 (en) 1998-10-23 2015-03-17 Devicor Medical Products, Inc. Surgical device for the collection of soft tissue
US20040034280A1 (en) * 1998-10-23 2004-02-19 Salvatore Privitera Surgical device for the collection of soft tissue
US6193715B1 (en) 1999-03-19 2001-02-27 Medical Scientific, Inc. Device for converting a mechanical cutting device to an electrosurgical cutting device
US6120462A (en) * 1999-03-31 2000-09-19 Ethicon Endo-Surgery, Inc. Control method for an automated surgical biopsy device
US6086544A (en) * 1999-03-31 2000-07-11 Ethicon Endo-Surgery, Inc. Control apparatus for an automated surgical biopsy device
US20030004508A1 (en) * 1999-05-11 2003-01-02 Stryker Corporation Surgical handpiece with self-sealing switch assembly
US6461352B2 (en) 1999-05-11 2002-10-08 Stryker Corporation Surgical handpiece with self-sealing switch assembly
US7306592B2 (en) 1999-05-11 2007-12-11 Stryker Corporation System and method for regulating an amount of thermal energy generated by an electrosurgical tool
US10582978B2 (en) * 1999-06-02 2020-03-10 Covidien Lp Shaft, E.G., for an electro-mechanical surgical device
US20170056119A1 (en) * 1999-06-02 2017-03-02 Covidien Lp Shaft, e.g., for an electro-mechanical surgical device
US8460207B2 (en) 1999-12-17 2013-06-11 Devicor Medical Products, Inc. Surgical biopsy system with remote control for selecting an operational mode
US20110160610A1 (en) * 1999-12-17 2011-06-30 Devicor Medical Products, Inc. Surgical biopsy system with remote control for selecting an operational mode
US20040210161A1 (en) * 1999-12-17 2004-10-21 Burdorff Mark A. Surgical biopsy system with remote control for selecting an operational mode
US7914464B2 (en) 1999-12-17 2011-03-29 Devicor Medical Products, Inc. Surgical biopsy system with control unit for selecting an operational mode
US6752768B2 (en) 1999-12-17 2004-06-22 Ethicon Endo-Surgery Surgical biopsy system with remote control for selecting an operational mode
US9039635B2 (en) 1999-12-17 2015-05-26 Devicor Medical Products, Inc. Surgical biopsy system with remote control for selecting an operational mode
US6432065B1 (en) 1999-12-17 2002-08-13 Ethicon Endo-Surgery, Inc. Method for using a surgical biopsy system with remote control for selecting and operational mode
US6428487B1 (en) 1999-12-17 2002-08-06 Ethicon Endo-Surgery, Inc. Surgical biopsy system with remote control for selecting an operational mode
US20050011025A1 (en) * 2000-03-17 2005-01-20 Braun Gmbh Dental cleaning device
US7979939B2 (en) 2000-03-17 2011-07-19 Braun Gmbh Dental cleaning device
US7624467B2 (en) 2000-03-17 2009-12-01 Braun Gmbh Dental cleaning device
US20010047183A1 (en) * 2000-04-05 2001-11-29 Salvatore Privitera Surgical device for the collection of soft tissue
US6500169B1 (en) 2000-05-15 2002-12-31 Stryker Corporation Powered surgical handpiece with membrane switch
US6610020B2 (en) 2000-10-13 2003-08-26 Ethicon Endo-Surgery, Inc. Fork assembly for a surgical biopsy device
US7060039B2 (en) 2000-10-13 2006-06-13 Voegele James W Fork assembly for a surgical biopsy device
US20040158173A1 (en) * 2000-10-13 2004-08-12 Voegele James W. Transmission assembly for a surgical biopsy device
US6656133B2 (en) 2000-10-13 2003-12-02 Ethicon Endo-Surgery, Inc. Transmission assembly for a surgical biopsy device
US20020077645A1 (en) * 2000-10-20 2002-06-20 Ethicon Endo-Surgery, Inc. Apparatus and method for altering generator functions in an ultrasonic surgical system
US6908472B2 (en) * 2000-10-20 2005-06-21 Ethicon Endo-Surgery, Inc. Apparatus and method for altering generator functions in an ultrasonic surgical system
US20050027311A1 (en) * 2000-10-20 2005-02-03 Wiener Eitan T. Apparatus and method for altering generator functions in an ultrasonic surgical system
US7770251B2 (en) 2001-03-14 2010-08-10 Braun Gmbh Method and device for cleaning teeth
US20070234493A1 (en) * 2001-03-14 2007-10-11 Braun Gmbh, A Germany Corporation Dental Cleaning Device
US8443475B2 (en) 2001-03-14 2013-05-21 Braun Gmbh Method and device for cleaning teeth
US20100325822A1 (en) * 2001-03-14 2010-12-30 Alexander Hilscher Method and Device for Cleaning Teeth
US20080022471A1 (en) * 2001-03-14 2008-01-31 Alexander Hilscher Dental cleaning device
US7861349B2 (en) 2001-03-14 2011-01-04 Braun Gmbh Method and device for cleaning teeth
US20080010771A1 (en) * 2001-03-14 2008-01-17 The Gillette Company Method and device for cleaning teeth
US7774886B2 (en) 2001-03-14 2010-08-17 Braun Gmbh Method and device for cleaning teeth
US20080022469A1 (en) * 2001-03-14 2008-01-31 Alexander Hilscher Dental cleaning device
US7987545B2 (en) 2001-03-14 2011-08-02 Braun Gmbh Method and device for cleaning teeth
US8671493B2 (en) 2001-03-14 2014-03-18 Braun Gmbh Dental cleaning device
US20080020352A1 (en) * 2001-03-14 2008-01-24 Alexander Hilscher Method and device for cleaning teeth
US7673360B2 (en) 2001-03-14 2010-03-09 Braun Gmbh Dental cleaning device
US20050000044A1 (en) * 2001-03-14 2005-01-06 Braun Gmbh Method and device for cleaning teeth
US7661172B2 (en) 2001-03-14 2010-02-16 Braun Gmbh Dental cleaning device
US7621015B2 (en) 2001-03-14 2009-11-24 Braun Gmbh Method and device for cleaning teeth
US6432064B1 (en) 2001-04-09 2002-08-13 Ethicon Endo-Surgery, Inc. Biopsy instrument with tissue marking element
US7108660B2 (en) 2001-04-20 2006-09-19 Ethicon Endo-Surgery, Inc. Surgical biopsy device having automatic rotation of the probe for taking multiple samples
US6620111B2 (en) 2001-04-20 2003-09-16 Ethicon Endo-Surgery, Inc. Surgical biopsy device having automatic rotation of the probe for taking multiple samples
US20050261604A1 (en) * 2001-04-20 2005-11-24 Stephens Randy R Surgical biopsy device having automatic rotation of the probe for taking multiple samples
US20040255409A1 (en) * 2001-12-04 2004-12-23 Alexander Hilscher Dental cleaning device
US7985073B2 (en) 2001-12-04 2011-07-26 Braun Gmbh Method and device for cleaning teeth
US8181301B2 (en) 2001-12-04 2012-05-22 Braun Gmbh Dental cleaning device
US8443476B2 (en) 2001-12-04 2013-05-21 Braun Gmbh Dental cleaning device
US20100316975A1 (en) * 2001-12-04 2010-12-16 Alexander Hilscher Method And Device For Cleaning Teeth
US8683637B2 (en) 2001-12-04 2014-04-01 Braun Gmbh Dental cleaning device
US20100281637A1 (en) * 2001-12-04 2010-11-11 Braun Gmbh Dental Cleaning Device
EP1356776A1 (en) 2002-04-22 2003-10-29 Richard Wolf GmbH Identification system for rotary tool bits in medical devices
US20030199856A1 (en) * 2002-04-22 2003-10-23 Richard Wolf Gmbh Coding system for the identification of tools
US11266441B2 (en) 2002-05-31 2022-03-08 Teleflex Life Sciences Limited Penetrator assembly for accessing bone marrow
US11234683B2 (en) 2002-05-31 2022-02-01 Teleflex Life Sciences Limited Assembly for coupling powered driver with intraosseous device
US20080215056A1 (en) * 2002-05-31 2008-09-04 Miller Larry J Powered Drivers, Intraosseous Devices And Methods To Access Bone Marrow
US10973532B2 (en) 2002-05-31 2021-04-13 Teleflex Life Sciences Limited Powered drivers, intraosseous devices and methods to access bone marrow
US10512474B2 (en) 2002-05-31 2019-12-24 Teleflex Medical Devices S.À R.L. Powered drivers, intraosseous devices and methods to access bone marrow
US11337728B2 (en) 2002-05-31 2022-05-24 Teleflex Life Sciences Limited Powered drivers, intraosseous devices and methods to access bone marrow
US11291472B2 (en) 2002-05-31 2022-04-05 Teleflex Life Sciences Limited Powered drivers, intraosseous devices and methods to access bone marrow
US9451968B2 (en) * 2002-05-31 2016-09-27 Vidacare LLC Powered drivers, intraosseous devices and methods to access bone marrow
US10973545B2 (en) 2002-05-31 2021-04-13 Teleflex Life Sciences Limited Powered drivers, intraosseous devices and methods to access bone marrow
US11324521B2 (en) 2002-05-31 2022-05-10 Teleflex Life Sciences Limited Apparatus and method to access bone marrow
US11103282B1 (en) 2002-05-31 2021-08-31 Teleflex Life Sciences Limited Powered drivers, intraosseous devices and methods to access bone marrow
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US8783541B2 (en) 2003-05-20 2014-07-22 Frederick E. Shelton, IV Robotically-controlled surgical end effector system
US20080146965A1 (en) * 2003-08-11 2008-06-19 Salvatore Privitera Surgical Device for The Collection of Soft Tissue
US9392999B2 (en) 2004-05-21 2016-07-19 Devicor Medical Products, Inc. MRI biopsy device
US9795365B2 (en) 2004-05-21 2017-10-24 Devicor Medical Products, Inc. MRI biopsy apparatus incorporating a sleeve and multi-function obturator
US9638770B2 (en) 2004-05-21 2017-05-02 Devicor Medical Products, Inc. MRI biopsy apparatus incorporating an imageable penetrating portion
US9504453B2 (en) 2004-05-21 2016-11-29 Devicor Medical Products, Inc. MRI biopsy device
US8932233B2 (en) 2004-05-21 2015-01-13 Devicor Medical Products, Inc. MRI biopsy device
US10314590B2 (en) 2004-07-28 2019-06-11 Ethicon Llc Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US11083456B2 (en) 2004-07-28 2021-08-10 Cilag Gmbh International Articulating surgical instrument incorporating a two-piece firing mechanism
US9282966B2 (en) 2004-07-28 2016-03-15 Ethicon Endo-Surgery, Inc. Surgical stapling instrument
US10383634B2 (en) 2004-07-28 2019-08-20 Ethicon Llc Stapling system incorporating a firing lockout
US9844379B2 (en) 2004-07-28 2017-12-19 Ethicon Llc Surgical stapling instrument having a clearanced opening
US10568629B2 (en) 2004-07-28 2020-02-25 Ethicon Llc Articulating surgical stapling instrument
US9737303B2 (en) 2004-07-28 2017-08-22 Ethicon Llc Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US9737302B2 (en) 2004-07-28 2017-08-22 Ethicon Llc Surgical stapling instrument having a restraining member
US11684365B2 (en) 2004-07-28 2023-06-27 Cilag Gmbh International Replaceable staple cartridges for surgical instruments
US11135352B2 (en) 2004-07-28 2021-10-05 Cilag Gmbh International End effector including a gradually releasable medical adjunct
US11116502B2 (en) 2004-07-28 2021-09-14 Cilag Gmbh International Surgical stapling instrument incorporating a two-piece firing mechanism
US10292707B2 (en) 2004-07-28 2019-05-21 Ethicon Llc Articulating surgical stapling instrument incorporating a firing mechanism
US9585663B2 (en) 2004-07-28 2017-03-07 Ethicon Endo-Surgery, Llc Surgical stapling instrument configured to apply a compressive pressure to tissue
US10485547B2 (en) 2004-07-28 2019-11-26 Ethicon Llc Surgical staple cartridges
US11812960B2 (en) 2004-07-28 2023-11-14 Cilag Gmbh International Method of segmenting the operation of a surgical stapling instrument
US11882987B2 (en) 2004-07-28 2024-01-30 Cilag Gmbh International Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
US10293100B2 (en) 2004-07-28 2019-05-21 Ethicon Llc Surgical stapling instrument having a medical substance dispenser
US9510830B2 (en) 2004-07-28 2016-12-06 Ethicon Endo-Surgery, Llc Staple cartridge
US10278702B2 (en) 2004-07-28 2019-05-07 Ethicon Llc Stapling system comprising a firing bar and a lockout
US10799240B2 (en) 2004-07-28 2020-10-13 Ethicon Llc Surgical instrument comprising a staple firing lockout
US10687817B2 (en) 2004-07-28 2020-06-23 Ethicon Llc Stapling device comprising a firing member lockout
US11896225B2 (en) 2004-07-28 2024-02-13 Cilag Gmbh International Staple cartridge comprising a pan
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US10716563B2 (en) 2004-07-28 2020-07-21 Ethicon Llc Stapling system comprising an instrument assembly including a lockout
US20110122987A1 (en) * 2004-12-23 2011-05-26 Braun Gmbh Replaceable Accessory for a Small Electrical Appliance and Method of Monitoring the Usage of the Accessory
US8218711B2 (en) 2004-12-23 2012-07-10 Braun Gmbh Replaceable accessory for a small electrical appliance and method of monitoring the usage of the accessory
US9504521B2 (en) 2005-03-17 2016-11-29 Stryker Corporation Surgical tool arrangement
WO2006102124A3 (en) * 2005-03-17 2007-03-15 Stryker Corp Surgical tool arrangement
US11090045B2 (en) 2005-08-31 2021-08-17 Cilag Gmbh International Staple cartridges for forming staples having differing formed staple heights
US10869664B2 (en) 2005-08-31 2020-12-22 Ethicon Llc End effector for use with a surgical stapling instrument
US9844373B2 (en) 2005-08-31 2017-12-19 Ethicon Llc Fastener cartridge assembly comprising a driver row arrangement
US11134947B2 (en) 2005-08-31 2021-10-05 Cilag Gmbh International Fastener cartridge assembly comprising a camming sled with variable cam arrangements
US9848873B2 (en) 2005-08-31 2017-12-26 Ethicon Llc Fastener cartridge assembly comprising a driver and staple cavity arrangement
US8464923B2 (en) 2005-08-31 2013-06-18 Ethicon Endo-Surgery, Inc. Surgical stapling devices for forming staples with different formed heights
US10842489B2 (en) 2005-08-31 2020-11-24 Ethicon Llc Fastener cartridge assembly comprising a cam and driver arrangement
US11172927B2 (en) 2005-08-31 2021-11-16 Cilag Gmbh International Staple cartridges for forming staples having differing formed staple heights
US11839375B2 (en) 2005-08-31 2023-12-12 Cilag Gmbh International Fastener cartridge assembly comprising an anvil and different staple heights
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US9795382B2 (en) 2005-08-31 2017-10-24 Ethicon Llc Fastener cartridge assembly comprising a cam and driver arrangement
US11179153B2 (en) 2005-08-31 2021-11-23 Cilag Gmbh International Staple cartridges for forming staples having differing formed staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US11793512B2 (en) 2005-08-31 2023-10-24 Cilag Gmbh International Staple cartridges for forming staples having differing formed staple heights
US10070863B2 (en) 2005-08-31 2018-09-11 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil
US11771425B2 (en) 2005-08-31 2023-10-03 Cilag Gmbh International Stapling assembly for forming staples to different formed heights
US8567656B2 (en) 2005-08-31 2013-10-29 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US10729436B2 (en) 2005-08-31 2020-08-04 Ethicon Llc Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US11730474B2 (en) 2005-08-31 2023-08-22 Cilag Gmbh International Fastener cartridge assembly comprising a movable cartridge and a staple driver arrangement
US10932774B2 (en) 2005-08-31 2021-03-02 Ethicon Llc Surgical end effector for forming staples to different heights
US11272928B2 (en) 2005-08-31 2022-03-15 Cilag GmbH Intemational Staple cartridges for forming staples having differing formed staple heights
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US9592052B2 (en) 2005-08-31 2017-03-14 Ethicon Endo-Surgery, Llc Stapling assembly for forming different formed staple heights
US9561032B2 (en) 2005-08-31 2017-02-07 Ethicon Endo-Surgery, Llc Staple cartridge comprising a staple driver arrangement
US10842488B2 (en) 2005-08-31 2020-11-24 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US9839427B2 (en) 2005-08-31 2017-12-12 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and a staple driver arrangement
US10245032B2 (en) 2005-08-31 2019-04-02 Ethicon Llc Staple cartridges for forming staples having differing formed staple heights
US10245035B2 (en) 2005-08-31 2019-04-02 Ethicon Llc Stapling assembly configured to produce different formed staple heights
US8636187B2 (en) 2005-08-31 2014-01-28 Ethicon Endo-Surgery, Inc. Surgical stapling systems that produce formed staples having different lengths
US10271846B2 (en) 2005-08-31 2019-04-30 Ethicon Llc Staple cartridge for use with a surgical stapler
US10271845B2 (en) 2005-08-31 2019-04-30 Ethicon Llc Fastener cartridge assembly comprising a cam and driver arrangement
US9237891B2 (en) 2005-08-31 2016-01-19 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US10278697B2 (en) 2005-08-31 2019-05-07 Ethicon Llc Staple cartridge comprising a staple driver arrangement
US11576673B2 (en) 2005-08-31 2023-02-14 Cilag Gmbh International Stapling assembly for forming staples to different heights
US10321909B2 (en) 2005-08-31 2019-06-18 Ethicon Llc Staple cartridge comprising a staple including deformable members
US11484311B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US10420553B2 (en) 2005-08-31 2019-09-24 Ethicon Llc Staple cartridge comprising a staple driver arrangement
US8317070B2 (en) 2005-08-31 2012-11-27 Ethicon Endo-Surgery, Inc. Surgical stapling devices that produce formed staples having different lengths
US9326768B2 (en) 2005-08-31 2016-05-03 Ethicon Endo-Surgery, Llc Staple cartridges for forming staples having differing formed staple heights
US11399828B2 (en) 2005-08-31 2022-08-02 Cilag Gmbh International Fastener cartridge assembly comprising a fixed anvil and different staple heights
US9307988B2 (en) 2005-08-31 2016-04-12 Ethicon Endo-Surgery, Llc Staple cartridges for forming staples having differing formed staple heights
US10463369B2 (en) 2005-08-31 2019-11-05 Ethicon Llc Disposable end effector for use with a surgical instrument
US10806449B2 (en) 2005-11-09 2020-10-20 Ethicon Llc End effectors for surgical staplers
US10149679B2 (en) 2005-11-09 2018-12-11 Ethicon Llc Surgical instrument comprising drive systems
US10993713B2 (en) 2005-11-09 2021-05-04 Ethicon Llc Surgical instruments
US11793511B2 (en) 2005-11-09 2023-10-24 Cilag Gmbh International Surgical instruments
US10028742B2 (en) 2005-11-09 2018-07-24 Ethicon Llc Staple cartridge comprising staples with different unformed heights
US9968356B2 (en) 2005-11-09 2018-05-15 Ethicon Llc Surgical instrument drive systems
US9895147B2 (en) 2005-11-09 2018-02-20 Ethicon Llc End effectors for surgical staplers
US20070179477A1 (en) * 2006-01-12 2007-08-02 Karl-Heinz Danger Surgical coupling device
US11103269B2 (en) 2006-01-31 2021-08-31 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with tactile position feedback
US10842491B2 (en) 2006-01-31 2020-11-24 Ethicon Llc Surgical system with an actuation console
US11883020B2 (en) 2006-01-31 2024-01-30 Cilag Gmbh International Surgical instrument having a feedback system
US8844789B2 (en) 2006-01-31 2014-09-30 Ethicon Endo-Surgery, Inc. Automated end effector component reloading system for use with a robotic system
US10675028B2 (en) 2006-01-31 2020-06-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US11890029B2 (en) 2006-01-31 2024-02-06 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument
US10959722B2 (en) 2006-01-31 2021-03-30 Ethicon Llc Surgical instrument for deploying fasteners by way of rotational motion
US9861359B2 (en) 2006-01-31 2018-01-09 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US11890008B2 (en) 2006-01-31 2024-02-06 Cilag Gmbh International Surgical instrument with firing lockout
US10004498B2 (en) 2006-01-31 2018-06-26 Ethicon Llc Surgical instrument comprising a plurality of articulation joints
US11801051B2 (en) 2006-01-31 2023-10-31 Cilag Gmbh International Accessing data stored in a memory of a surgical instrument
US10010322B2 (en) 2006-01-31 2018-07-03 Ethicon Llc Surgical instrument
US11058420B2 (en) 2006-01-31 2021-07-13 Cilag Gmbh International Surgical stapling apparatus comprising a lockout system
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US9743928B2 (en) 2006-01-31 2017-08-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US10052099B2 (en) 2006-01-31 2018-08-21 Ethicon Llc Surgical instrument system comprising a firing system including a rotatable shaft and first and second actuation ramps
US10653435B2 (en) 2006-01-31 2020-05-19 Ethicon Llc Motor-driven surgical cutting and fastening instrument with tactile position feedback
US10653417B2 (en) 2006-01-31 2020-05-19 Ethicon Llc Surgical instrument
US10052100B2 (en) 2006-01-31 2018-08-21 Ethicon Llc Surgical instrument system configured to detect resistive forces experienced by a tissue cutting implement
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US10058963B2 (en) 2006-01-31 2018-08-28 Ethicon Llc Automated end effector component reloading system for use with a robotic system
US10743849B2 (en) 2006-01-31 2020-08-18 Ethicon Llc Stapling system including an articulation system
US10952728B2 (en) 2006-01-31 2021-03-23 Ethicon Llc Powered surgical instruments with firing system lockout arrangements
US9320520B2 (en) 2006-01-31 2016-04-26 Ethicon Endo-Surgery, Inc. Surgical instrument system
US9326769B2 (en) 2006-01-31 2016-05-03 Ethicon Endo-Surgery, Llc Surgical instrument
US9326770B2 (en) 2006-01-31 2016-05-03 Ethicon Endo-Surgery, Llc Surgical instrument
US10098636B2 (en) 2006-01-31 2018-10-16 Ethicon Llc Surgical instrument having force feedback capabilities
US10993717B2 (en) 2006-01-31 2021-05-04 Ethicon Llc Surgical stapling system comprising a control system
US11000275B2 (en) 2006-01-31 2021-05-11 Ethicon Llc Surgical instrument
US11660110B2 (en) 2006-01-31 2023-05-30 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with tactile position feedback
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US11648024B2 (en) 2006-01-31 2023-05-16 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with position feedback
US10201363B2 (en) 2006-01-31 2019-02-12 Ethicon Llc Motor-driven surgical instrument
US11648008B2 (en) 2006-01-31 2023-05-16 Cilag Gmbh International Surgical instrument having force feedback capabilities
US8172124B2 (en) 2006-01-31 2012-05-08 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US11364046B2 (en) 2006-01-31 2022-06-21 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with tactile position feedback
US8746529B2 (en) 2006-01-31 2014-06-10 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US8167185B2 (en) 2006-01-31 2012-05-01 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US11166717B2 (en) 2006-01-31 2021-11-09 Cilag Gmbh International Surgical instrument with firing lockout
US9517068B2 (en) 2006-01-31 2016-12-13 Ethicon Endo-Surgery, Llc Surgical instrument with automatically-returned firing member
US11612393B2 (en) 2006-01-31 2023-03-28 Cilag Gmbh International Robotically-controlled end effector
US9113874B2 (en) 2006-01-31 2015-08-25 Ethicon Endo-Surgery, Inc. Surgical instrument system
US11051813B2 (en) 2006-01-31 2021-07-06 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US10426463B2 (en) 2006-01-31 2019-10-01 Ehticon LLC Surgical instrument having a feedback system
US11224427B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Surgical stapling system including a console and retraction assembly
US11224454B2 (en) 2006-01-31 2022-01-18 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with tactile position feedback
US10709468B2 (en) 2006-01-31 2020-07-14 Ethicon Llc Motor-driven surgical cutting and fastening instrument
US11020113B2 (en) 2006-01-31 2021-06-01 Cilag Gmbh International Surgical instrument having force feedback capabilities
US10342533B2 (en) 2006-01-31 2019-07-09 Ethicon Llc Surgical instrument
US8161977B2 (en) 2006-01-31 2012-04-24 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US10806479B2 (en) 2006-01-31 2020-10-20 Ethicon Llc Motor-driven surgical cutting and fastening instrument with tactile position feedback
US8292155B2 (en) 2006-01-31 2012-10-23 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with tactile position feedback
US11246616B2 (en) 2006-01-31 2022-02-15 Cilag Gmbh International Motor-driven surgical cutting and fastening instrument with tactile position feedback
US9451958B2 (en) 2006-01-31 2016-09-27 Ethicon Endo-Surgery, Llc Surgical instrument with firing actuator lockout
US10278722B2 (en) 2006-01-31 2019-05-07 Ethicon Llc Motor-driven surgical cutting and fastening instrument
US9439649B2 (en) 2006-01-31 2016-09-13 Ethicon Endo-Surgery, Llc Surgical instrument having force feedback capabilities
US8157153B2 (en) 2006-01-31 2012-04-17 Ethicon Endo-Surgery, Inc. Surgical instrument with force-feedback capabilities
US11350916B2 (en) 2006-01-31 2022-06-07 Cilag Gmbh International Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US8763879B2 (en) 2006-01-31 2014-07-01 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of surgical instrument
US10499890B2 (en) 2006-01-31 2019-12-10 Ethicon Llc Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US10335144B2 (en) 2006-01-31 2019-07-02 Ethicon Llc Surgical instrument
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US8820605B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instruments
US10485539B2 (en) 2006-01-31 2019-11-26 Ethicon Llc Surgical instrument with firing lockout
US11051811B2 (en) 2006-01-31 2021-07-06 Ethicon Llc End effector for use with a surgical instrument
US10893853B2 (en) 2006-01-31 2021-01-19 Ethicon Llc Stapling assembly including motor drive systems
US10918380B2 (en) 2006-01-31 2021-02-16 Ethicon Llc Surgical instrument system including a control system
US10299817B2 (en) 2006-01-31 2019-05-28 Ethicon Llc Motor-driven fastening assembly
US8752747B2 (en) 2006-01-31 2014-06-17 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US10463383B2 (en) 2006-01-31 2019-11-05 Ethicon Llc Stapling instrument including a sensing system
US10463384B2 (en) 2006-01-31 2019-11-05 Ethicon Llc Stapling assembly
US9370358B2 (en) 2006-01-31 2016-06-21 Ethicon Endo-Surgery, Llc Motor-driven surgical cutting and fastening instrument with tactile position feedback
US10070861B2 (en) 2006-03-23 2018-09-11 Ethicon Llc Articulatable surgical device
US10213262B2 (en) 2006-03-23 2019-02-26 Ethicon Llc Manipulatable surgical systems with selectively articulatable fastening device
US9402626B2 (en) 2006-03-23 2016-08-02 Ethicon Endo-Surgery, Llc Rotary actuatable surgical fastener and cutter
US9492167B2 (en) 2006-03-23 2016-11-15 Ethicon Endo-Surgery, Llc Articulatable surgical device with rotary driven cutting member
US9301759B2 (en) 2006-03-23 2016-04-05 Ethicon Endo-Surgery, Llc Robotically-controlled surgical instrument with selectively articulatable end effector
US8911471B2 (en) 2006-03-23 2014-12-16 Ethicon Endo-Surgery, Inc. Articulatable surgical device
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US9149274B2 (en) 2006-03-23 2015-10-06 Ethicon Endo-Surgery, Inc. Articulating endoscopic accessory channel
US10064688B2 (en) 2006-03-23 2018-09-04 Ethicon Llc Surgical system with selectively articulatable end effector
US10314589B2 (en) 2006-06-27 2019-06-11 Ethicon Llc Surgical instrument including a shifting assembly
US10420560B2 (en) 2006-06-27 2019-09-24 Ethicon Llc Manually driven surgical cutting and fastening instrument
US11272938B2 (en) 2006-06-27 2022-03-15 Cilag Gmbh International Surgical instrument including dedicated firing and retraction assemblies
US9320521B2 (en) 2006-06-27 2016-04-26 Ethicon Endo-Surgery, Llc Surgical instrument
US11426249B2 (en) 2006-09-12 2022-08-30 Teleflex Life Sciences Limited Vertebral access system and methods
US11571231B2 (en) 2006-09-29 2023-02-07 Cilag Gmbh International Staple cartridge having a driver for driving multiple staples
US8899465B2 (en) 2006-09-29 2014-12-02 Ethicon Endo-Surgery, Inc. Staple cartridge comprising drivers for deploying a plurality of staples
US8763875B2 (en) 2006-09-29 2014-07-01 Ethicon Endo-Surgery, Inc. End effector for use with a surgical fastening instrument
US10130359B2 (en) 2006-09-29 2018-11-20 Ethicon Llc Method for forming a staple
US8808325B2 (en) 2006-09-29 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with staples having crown features for increasing formed staple footprint
US9706991B2 (en) 2006-09-29 2017-07-18 Ethicon Endo-Surgery, Inc. Staple cartridge comprising staples including a lateral base
US9603595B2 (en) 2006-09-29 2017-03-28 Ethicon Endo-Surgery, Llc Surgical instrument comprising an adjustable system configured to accommodate different jaw heights
US10172616B2 (en) 2006-09-29 2019-01-08 Ethicon Llc Surgical staple cartridge
US11678876B2 (en) 2006-09-29 2023-06-20 Cilag Gmbh International Powered surgical instrument
US11406379B2 (en) 2006-09-29 2022-08-09 Cilag Gmbh International Surgical end effectors with staple cartridges
US10448952B2 (en) 2006-09-29 2019-10-22 Ethicon Llc End effector for use with a surgical fastening instrument
US10595862B2 (en) 2006-09-29 2020-03-24 Ethicon Llc Staple cartridge including a compressible member
US8360297B2 (en) 2006-09-29 2013-01-29 Ethicon Endo-Surgery, Inc. Surgical cutting and stapling instrument with self adjusting anvil
US9408604B2 (en) 2006-09-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instrument comprising a firing system including a compliant portion
US8348131B2 (en) 2006-09-29 2013-01-08 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with mechanical indicator to show levels of tissue compression
US8485412B2 (en) 2006-09-29 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical staples having attached drivers and stapling instruments for deploying the same
US8365976B2 (en) 2006-09-29 2013-02-05 Ethicon Endo-Surgery, Inc. Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same
US8499993B2 (en) 2006-09-29 2013-08-06 Ethicon Endo-Surgery, Inc. Surgical staple cartridge
US10695053B2 (en) 2006-09-29 2020-06-30 Ethicon Llc Surgical end effectors with staple cartridges
US11633182B2 (en) 2006-09-29 2023-04-25 Cilag Gmbh International Surgical stapling assemblies
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US11622785B2 (en) 2006-09-29 2023-04-11 Cilag Gmbh International Surgical staples having attached drivers and stapling instruments for deploying the same
US8973804B2 (en) 2006-09-29 2015-03-10 Ethicon Endo-Surgery, Inc. Cartridge assembly having a buttressing member
US9179911B2 (en) 2006-09-29 2015-11-10 Ethicon Endo-Surgery, Inc. End effector for use with a surgical fastening instrument
US10342541B2 (en) 2006-10-03 2019-07-09 Ethicon Llc Surgical instruments with E-beam driver and rotary drive arrangements
US11877748B2 (en) 2006-10-03 2024-01-23 Cilag Gmbh International Robotically-driven surgical instrument with E-beam driver
US10206678B2 (en) 2006-10-03 2019-02-19 Ethicon Llc Surgical stapling instrument with lockout features to prevent advancement of a firing assembly unless an unfired surgical staple cartridge is operably mounted in an end effector portion of the instrument
US11382626B2 (en) 2006-10-03 2022-07-12 Cilag Gmbh International Surgical system including a knife bar supported for rotational and axial travel
US20080138854A1 (en) * 2006-12-12 2008-06-12 Biopath Automation, L.L.C. Biopsy support with sectionable resilient cellular material
US10517577B2 (en) 2006-12-13 2019-12-31 Devicor Medical Products, Inc. Presentation of biopsy sample by biopsy device
US7981049B2 (en) 2006-12-13 2011-07-19 Devicor Medical Products, Inc. Engagement interface for biopsy system vacuum module
US7938786B2 (en) 2006-12-13 2011-05-10 Devicor Medical Products, Inc. Vacuum timing algorithm for biopsy device
US20090131816A1 (en) * 2006-12-13 2009-05-21 Ritchie Paul G Engagement Interface For Biopsy System Vacuum Module
US10905403B2 (en) 2006-12-13 2021-02-02 Devicor Medical Products, Inc. Presentation of biopsy sample by biopsy device
US9345457B2 (en) 2006-12-13 2016-05-24 Devicor Medical Products, Inc. Presentation of biopsy sample by biopsy device
US20080214955A1 (en) * 2006-12-13 2008-09-04 Speeg Trevor W V Presentation of Biopsy Sample By Biopsy Device
US20080195066A1 (en) * 2006-12-13 2008-08-14 Speeg Trevor W V Revolving Tissue Sample Holder For Biopsy Device
US8251916B2 (en) 2006-12-13 2012-08-28 Devicor Medical Products, Inc. Revolving tissue sample holder for biopsy device
US8480595B2 (en) 2006-12-13 2013-07-09 Devicor Medical Products, Inc. Biopsy device with motorized needle cocking
US11179141B2 (en) 2006-12-13 2021-11-23 Devicor Medical Products, Inc. Biopsy system
US8968212B2 (en) 2006-12-13 2015-03-03 Devicor Medical Products, Inc. Biopsy device with motorized needle cocking
US20080200836A1 (en) * 2006-12-13 2008-08-21 Speeg Trevor W V Biopsy Device With Motorized Needle Cocking
US20080228103A1 (en) * 2006-12-13 2008-09-18 Ritchie Paul G Vacuum Timing Algorithm For Biopsy Device
US9757123B2 (en) 2007-01-10 2017-09-12 Ethicon Llc Powered surgical instrument having a transmission system
US10441369B2 (en) 2007-01-10 2019-10-15 Ethicon Llc Articulatable surgical instrument configured for detachable use with a robotic system
US11771426B2 (en) 2007-01-10 2023-10-03 Cilag Gmbh International Surgical instrument with wireless communication
US11134943B2 (en) 2007-01-10 2021-10-05 Cilag Gmbh International Powered surgical instrument including a control unit and sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US10433918B2 (en) 2007-01-10 2019-10-08 Ethicon Llc Surgical instrument system configured to evaluate the load applied to a firing member at the initiation of a firing stroke
US10278780B2 (en) 2007-01-10 2019-05-07 Ethicon Llc Surgical instrument for use with robotic system
US10517590B2 (en) 2007-01-10 2019-12-31 Ethicon Llc Powered surgical instrument having a transmission system
US11006951B2 (en) 2007-01-10 2021-05-18 Ethicon Llc Surgical instrument with wireless communication between control unit and sensor transponders
US11812961B2 (en) 2007-01-10 2023-11-14 Cilag Gmbh International Surgical instrument including a motor control system
US10751138B2 (en) 2007-01-10 2020-08-25 Ethicon Llc Surgical instrument for use with a robotic system
US8746530B2 (en) 2007-01-10 2014-06-10 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US8479969B2 (en) 2007-01-10 2013-07-09 Ethicon Endo-Surgery, Inc. Drive interface for operably coupling a manipulatable surgical tool to a robot
US8517243B2 (en) 2007-01-10 2013-08-27 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US11844521B2 (en) 2007-01-10 2023-12-19 Cilag Gmbh International Surgical instrument for use with a robotic system
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US11166720B2 (en) 2007-01-10 2021-11-09 Cilag Gmbh International Surgical instrument including a control module for assessing an end effector
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11849947B2 (en) 2007-01-10 2023-12-26 Cilag Gmbh International Surgical system including a control circuit and a passively-powered transponder
US11350929B2 (en) 2007-01-10 2022-06-07 Cilag Gmbh International Surgical instrument with wireless communication between control unit and sensor transponders
US11064998B2 (en) 2007-01-10 2021-07-20 Cilag Gmbh International Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11918211B2 (en) 2007-01-10 2024-03-05 Cilag Gmbh International Surgical stapling instrument for use with a robotic system
US10918386B2 (en) 2007-01-10 2021-02-16 Ethicon Llc Interlock and surgical instrument including same
US8459520B2 (en) 2007-01-10 2013-06-11 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and remote sensor
US10517682B2 (en) 2007-01-10 2019-12-31 Ethicon Llc Surgical instrument with wireless communication between control unit and remote sensor
US10952727B2 (en) 2007-01-10 2021-03-23 Ethicon Llc Surgical instrument for assessing the state of a staple cartridge
US10945729B2 (en) 2007-01-10 2021-03-16 Ethicon Llc Interlock and surgical instrument including same
US11666332B2 (en) 2007-01-10 2023-06-06 Cilag Gmbh International Surgical instrument comprising a control circuit configured to adjust the operation of a motor
US11000277B2 (en) 2007-01-10 2021-05-11 Ethicon Llc Surgical instrument with wireless communication between control unit and remote sensor
US8840603B2 (en) 2007-01-10 2014-09-23 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US11039836B2 (en) 2007-01-11 2021-06-22 Cilag Gmbh International Staple cartridge for use with a surgical stapling instrument
US9730692B2 (en) 2007-01-11 2017-08-15 Ethicon Llc Surgical stapling device with a curved staple cartridge
US8540128B2 (en) 2007-01-11 2013-09-24 Ethicon Endo-Surgery, Inc. Surgical stapling device with a curved end effector
US9603598B2 (en) 2007-01-11 2017-03-28 Ethicon Endo-Surgery, Llc Surgical stapling device with a curved end effector
US9750501B2 (en) 2007-01-11 2017-09-05 Ethicon Endo-Surgery, Llc Surgical stapling devices having laterally movable anvils
US10912575B2 (en) 2007-01-11 2021-02-09 Ethicon Llc Surgical stapling device having supports for a flexible drive mechanism
US9724091B2 (en) 2007-01-11 2017-08-08 Ethicon Llc Surgical stapling device
US11839352B2 (en) 2007-01-11 2023-12-12 Cilag Gmbh International Surgical stapling device with an end effector
US9700321B2 (en) 2007-01-11 2017-07-11 Ethicon Llc Surgical stapling device having supports for a flexible drive mechanism
US9675355B2 (en) 2007-01-11 2017-06-13 Ethicon Llc Surgical stapling device with a curved end effector
US9775613B2 (en) 2007-01-11 2017-10-03 Ethicon Llc Surgical stapling device with a curved end effector
US9655624B2 (en) 2007-01-11 2017-05-23 Ethicon Llc Surgical stapling device with a curved end effector
US9999431B2 (en) 2007-01-11 2018-06-19 Ethicon Endo-Surgery, Llc Surgical stapling device having supports for a flexible drive mechanism
US9757130B2 (en) 2007-02-28 2017-09-12 Ethicon Llc Stapling assembly for forming different formed staple heights
US10702267B2 (en) 2007-03-15 2020-07-07 Ethicon Llc Surgical stapling instrument having a releasable buttress material
US9289206B2 (en) 2007-03-15 2016-03-22 Ethicon Endo-Surgery, Llc Lateral securement members for surgical staple cartridges
US8991676B2 (en) 2007-03-15 2015-03-31 Ethicon Endo-Surgery, Inc. Surgical staple having a slidable crown
US8925788B2 (en) 2007-03-15 2015-01-06 Ethicon Endo-Surgery, Inc. End effectors for surgical stapling instruments
US11337693B2 (en) 2007-03-15 2022-05-24 Cilag Gmbh International Surgical stapling instrument having a releasable buttress material
US8590762B2 (en) 2007-03-15 2013-11-26 Ethicon Endo-Surgery, Inc. Staple cartridge cavity configurations
US9872682B2 (en) 2007-03-15 2018-01-23 Ethicon Llc Surgical stapling instrument having a releasable buttress material
US8672208B2 (en) 2007-03-15 2014-03-18 Ethicon Endo-Surgery, Inc. Surgical stapling instrument having a releasable buttress material
US8186560B2 (en) 2007-03-15 2012-05-29 Ethicon Endo-Surgery, Inc. Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features
US8668130B2 (en) 2007-03-15 2014-03-11 Ethicon Endo-Surgery, Inc. Surgical stapling systems and staple cartridges for deploying surgical staples with tissue compression features
US10398433B2 (en) 2007-03-28 2019-09-03 Ethicon Llc Laparoscopic clamp load measuring devices
US11771439B2 (en) 2007-04-04 2023-10-03 Teleflex Life Sciences Limited Powered driver
US20100299856A1 (en) * 2007-05-15 2010-12-02 Rudolf Majthan Toothbrush attachment and method for the production thereof
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
US9795381B2 (en) 2007-06-04 2017-10-24 Ethicon Endo-Surgery, Llc Robotically-controlled shaft based rotary drive systems for surgical instruments
US10441280B2 (en) 2007-06-04 2019-10-15 Ethicon Llc Robotically-controlled shaft based rotary drive systems for surgical instruments
US9585658B2 (en) 2007-06-04 2017-03-07 Ethicon Endo-Surgery, Llc Stapling systems
US11134938B2 (en) 2007-06-04 2021-10-05 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US8424740B2 (en) 2007-06-04 2013-04-23 Ethicon Endo-Surgery, Inc. Surgical instrument having a directional switching mechanism
US10368863B2 (en) 2007-06-04 2019-08-06 Ethicon Llc Robotically-controlled shaft based rotary drive systems for surgical instruments
US11147549B2 (en) 2007-06-04 2021-10-19 Cilag Gmbh International Stapling instrument including a firing system and a closure system
US11154298B2 (en) 2007-06-04 2021-10-26 Cilag Gmbh International Stapling system for use with a robotic surgical system
US11648006B2 (en) 2007-06-04 2023-05-16 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US10363033B2 (en) 2007-06-04 2019-07-30 Ethicon Llc Robotically-controlled surgical instruments
US9750498B2 (en) 2007-06-04 2017-09-05 Ethicon Endo Surgery, Llc Drive systems for surgical instruments
US10327765B2 (en) 2007-06-04 2019-06-25 Ethicon Llc Drive systems for surgical instruments
US8616431B2 (en) 2007-06-04 2013-12-31 Ethicon Endo-Surgery, Inc. Shiftable drive interface for robotically-controlled surgical tool
US8534528B2 (en) 2007-06-04 2013-09-17 Ethicon Endo-Surgery, Inc. Surgical instrument having a multiple rate directional switching mechanism
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US11857181B2 (en) 2007-06-04 2024-01-02 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US8196796B2 (en) 2007-06-04 2012-06-12 Ethicon Endo-Surgery, Inc. Shaft based rotary drive system for surgical instruments
US11672531B2 (en) 2007-06-04 2023-06-13 Cilag Gmbh International Rotary drive systems for surgical instruments
US11559302B2 (en) 2007-06-04 2023-01-24 Cilag Gmbh International Surgical instrument including a firing member movable at different speeds
US9186143B2 (en) 2007-06-04 2015-11-17 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US11911028B2 (en) 2007-06-04 2024-02-27 Cilag Gmbh International Surgical instruments for use with a robotic surgical system
US10299787B2 (en) 2007-06-04 2019-05-28 Ethicon Llc Stapling system comprising rotary inputs
US9987003B2 (en) 2007-06-04 2018-06-05 Ethicon Llc Robotic actuator assembly
US9138225B2 (en) 2007-06-22 2015-09-22 Ethicon Endo-Surgery, Inc. Surgical stapling instrument with an articulatable end effector
US11013511B2 (en) 2007-06-22 2021-05-25 Ethicon Llc Surgical stapling instrument with an articulatable end effector
US9662110B2 (en) 2007-06-22 2017-05-30 Ethicon Endo-Surgery, Llc Surgical stapling instrument with an articulatable end effector
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US11925346B2 (en) 2007-06-29 2024-03-12 Cilag Gmbh International Surgical staple cartridge including tissue supporting surfaces
US9987468B2 (en) 2007-06-29 2018-06-05 Actuated Medical, Inc. Reduced force device for intravascular access and guidewire placement
US10219832B2 (en) * 2007-06-29 2019-03-05 Actuated Medical, Inc. Device and method for less forceful tissue puncture
US20150073357A1 (en) * 2007-06-29 2015-03-12 Actuated Medical, Inc. Device and Method for Less Forceful Tissue Puncture
US8187204B2 (en) 2007-10-01 2012-05-29 Suros Surgical Systems, Inc. Surgical device and method for using same
US8808200B2 (en) 2007-10-01 2014-08-19 Suros Surgical Systems, Inc. Surgical device and method of using same
US20090088664A1 (en) * 2007-10-01 2009-04-02 Miller Michael E Surgical device and method for using same
US8202229B2 (en) 2007-10-01 2012-06-19 Suros Surgical Systems, Inc. Surgical device
US20090131824A1 (en) * 2007-11-20 2009-05-21 Andrisek John R Biopsy Device With Fine Pitch Drive Train
US9039634B2 (en) 2007-11-20 2015-05-26 Devicor Medical Products, Inc. Biopsy device tissue sample holder rotation control
US7858038B2 (en) 2007-11-20 2010-12-28 Devicor Medical Products, Inc. Biopsy device with illuminated tissue holder
US8052616B2 (en) 2007-11-20 2011-11-08 Devicor Medical Products, Inc. Biopsy device with fine pitch drive train
US20090131819A1 (en) * 2007-11-20 2009-05-21 Ritchie Paul G User Interface On Biopsy Device
US8454531B2 (en) 2007-11-20 2013-06-04 Devicor Medical Products, Inc. Icon-based user interface on biopsy system control module
US7806835B2 (en) 2007-11-20 2010-10-05 Devicor Medical Products, Inc. Biopsy device with sharps reduction feature
US20090131818A1 (en) * 2007-11-20 2009-05-21 Speeg Trevor W V Biopsy Device Tissue Sample Holder Rotation Control
US20090131820A1 (en) * 2007-11-20 2009-05-21 Speeg Trevor W V Icon-Based User Interface On Biopsy System Control Module
US9433403B2 (en) 2007-11-20 2016-09-06 Devicor Medical Products, Inc. Icon-based user interface on biopsy system control module
US20090131822A1 (en) * 2007-11-20 2009-05-21 Hibner John A Biopsy Device With Sharps Reduction Feature
US20090131823A1 (en) * 2007-11-20 2009-05-21 Andreyko Michael J Biopsy Device With Illuminated Tissue Holder
US10765424B2 (en) 2008-02-13 2020-09-08 Ethicon Llc Surgical stapling instrument
US9872684B2 (en) 2008-02-14 2018-01-23 Ethicon Llc Surgical stapling apparatus including firing force regulation
US8752749B2 (en) 2008-02-14 2014-06-17 Ethicon Endo-Surgery, Inc. Robotically-controlled disposable motor-driven loading unit
US11612395B2 (en) 2008-02-14 2023-03-28 Cilag Gmbh International Surgical system including a control system having an RFID tag reader
US10238385B2 (en) 2008-02-14 2019-03-26 Ethicon Llc Surgical instrument system for evaluating tissue impedance
US10238387B2 (en) 2008-02-14 2019-03-26 Ethicon Llc Surgical instrument comprising a control system
US10874396B2 (en) 2008-02-14 2020-12-29 Ethicon Llc Stapling instrument for use with a surgical robot
US10888330B2 (en) 2008-02-14 2021-01-12 Ethicon Llc Surgical system
US10806450B2 (en) 2008-02-14 2020-10-20 Ethicon Llc Surgical cutting and fastening instrument having a control system
US10265067B2 (en) 2008-02-14 2019-04-23 Ethicon Llc Surgical instrument including a regulator and a control system
US10307163B2 (en) 2008-02-14 2019-06-04 Ethicon Llc Detachable motor powered surgical instrument
US9522029B2 (en) 2008-02-14 2016-12-20 Ethicon Endo-Surgery, Llc Motorized surgical cutting and fastening instrument having handle based power source
US10888329B2 (en) 2008-02-14 2021-01-12 Ethicon Llc Detachable motor powered surgical instrument
US11638583B2 (en) 2008-02-14 2023-05-02 Cilag Gmbh International Motorized surgical system having a plurality of power sources
US11571212B2 (en) 2008-02-14 2023-02-07 Cilag Gmbh International Surgical stapling system including an impedance sensor
US10898194B2 (en) 2008-02-14 2021-01-26 Ethicon Llc Detachable motor powered surgical instrument
US9867618B2 (en) 2008-02-14 2018-01-16 Ethicon Llc Surgical stapling apparatus including firing force regulation
US10206676B2 (en) 2008-02-14 2019-02-19 Ethicon Llc Surgical cutting and fastening instrument
US10898195B2 (en) 2008-02-14 2021-01-26 Ethicon Llc Detachable motor powered surgical instrument
US10779822B2 (en) 2008-02-14 2020-09-22 Ethicon Llc System including a surgical cutting and fastening instrument
US9877723B2 (en) 2008-02-14 2018-01-30 Ethicon Llc Surgical stapling assembly comprising a selector arrangement
US10905427B2 (en) 2008-02-14 2021-02-02 Ethicon Llc Surgical System
US11484307B2 (en) 2008-02-14 2022-11-01 Cilag Gmbh International Loading unit coupleable to a surgical stapling system
US10905426B2 (en) 2008-02-14 2021-02-02 Ethicon Llc Detachable motor powered surgical instrument
US11464514B2 (en) 2008-02-14 2022-10-11 Cilag Gmbh International Motorized surgical stapling system including a sensing array
US11446034B2 (en) 2008-02-14 2022-09-20 Cilag Gmbh International Surgical stapling assembly comprising first and second actuation systems configured to perform different functions
US10765432B2 (en) 2008-02-14 2020-09-08 Ethicon Llc Surgical device including a control system
US10925605B2 (en) 2008-02-14 2021-02-23 Ethicon Llc Surgical stapling system
US9901345B2 (en) 2008-02-14 2018-02-27 Ethicon Llc Stapling assembly
US9901344B2 (en) 2008-02-14 2018-02-27 Ethicon Llc Stapling assembly
US9901346B2 (en) 2008-02-14 2018-02-27 Ethicon Llc Stapling assembly
US10463370B2 (en) 2008-02-14 2019-11-05 Ethicon Llc Motorized surgical instrument
US10470763B2 (en) 2008-02-14 2019-11-12 Ethicon Llc Surgical cutting and fastening instrument including a sensing system
US10682141B2 (en) 2008-02-14 2020-06-16 Ethicon Llc Surgical device including a control system
US8657178B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus
US8113410B2 (en) 2008-02-14 2012-02-14 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features
US9498219B2 (en) 2008-02-14 2016-11-22 Ethicon Endo-Surgery, Llc Detachable motor powered surgical instrument
US8196795B2 (en) 2008-02-14 2012-06-12 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US10682142B2 (en) 2008-02-14 2020-06-16 Ethicon Llc Surgical stapling apparatus including an articulation system
US10660640B2 (en) 2008-02-14 2020-05-26 Ethicon Llc Motorized surgical cutting and fastening instrument
US9211121B2 (en) 2008-02-14 2015-12-15 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus
US9204878B2 (en) 2008-02-14 2015-12-08 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US10743870B2 (en) 2008-02-14 2020-08-18 Ethicon Llc Surgical stapling apparatus with interlockable firing system
US9962158B2 (en) 2008-02-14 2018-05-08 Ethicon Llc Surgical stapling apparatuses with lockable end effector positioning systems
US10743851B2 (en) 2008-02-14 2020-08-18 Ethicon Llc Interchangeable tools for surgical instruments
US8459525B2 (en) 2008-02-14 2013-06-11 Ethicon Endo-Sugery, Inc. Motorized surgical cutting and fastening instrument having a magnetic drive train torque limiting device
US8540130B2 (en) 2008-02-14 2013-09-24 Ethicon Endo-Surgery, Inc. Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US9980729B2 (en) 2008-02-14 2018-05-29 Ethicon Endo-Surgery, Llc Detachable motor powered surgical instrument
US10542974B2 (en) 2008-02-14 2020-01-28 Ethicon Llc Surgical instrument including a control system
US9095339B2 (en) 2008-02-14 2015-08-04 Ethicon Endo-Surgery, Inc. Detachable motor powered surgical instrument
US9084601B2 (en) 2008-02-14 2015-07-21 Ethicon Endo-Surgery, Inc. Detachable motor powered surgical instrument
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US8573461B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with cam-driven staple deployment arrangements
US8584919B2 (en) 2008-02-14 2013-11-19 Ethicon Endo-Sugery, Inc. Surgical stapling apparatus with load-sensitive firing mechanism
US8991677B2 (en) 2008-02-14 2015-03-31 Ethicon Endo-Surgery, Inc. Detachable motor powered surgical instrument
US9999426B2 (en) 2008-02-14 2018-06-19 Ethicon Llc Detachable motor powered surgical instrument
US10722232B2 (en) 2008-02-14 2020-07-28 Ethicon Llc Surgical instrument for use with different cartridges
US9072515B2 (en) 2008-02-14 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus
US11717285B2 (en) 2008-02-14 2023-08-08 Cilag Gmbh International Surgical cutting and fastening instrument having RF electrodes
US10004505B2 (en) 2008-02-14 2018-06-26 Ethicon Llc Detachable motor powered surgical instrument
US10639036B2 (en) 2008-02-14 2020-05-05 Ethicon Llc Robotically-controlled motorized surgical cutting and fastening instrument
US10716568B2 (en) 2008-02-14 2020-07-21 Ethicon Llc Surgical stapling apparatus with control features operable with one hand
US8657174B2 (en) 2008-02-14 2014-02-25 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument having handle based power source
US8998058B2 (en) 2008-02-14 2015-04-07 Ethicon Endo-Surgery, Inc. Detachable motor powered surgical instrument
US11801047B2 (en) 2008-02-14 2023-10-31 Cilag Gmbh International Surgical stapling system comprising a control circuit configured to selectively monitor tissue impedance and adjust control of a motor
US8622274B2 (en) 2008-02-14 2014-01-07 Ethicon Endo-Surgery, Inc. Motorized cutting and fastening instrument having control circuit for optimizing battery usage
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US9770245B2 (en) 2008-02-15 2017-09-26 Ethicon Llc Layer arrangements for surgical staple cartridges
US11154297B2 (en) 2008-02-15 2021-10-26 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US11272927B2 (en) 2008-02-15 2022-03-15 Cilag Gmbh International Layer arrangements for surgical staple cartridges
US11058418B2 (en) 2008-02-15 2021-07-13 Cilag Gmbh International Surgical end effector having buttress retention features
US10390823B2 (en) 2008-02-15 2019-08-27 Ethicon Llc End effector comprising an adjunct
US10856866B2 (en) 2008-02-15 2020-12-08 Ethicon Llc Surgical end effector having buttress retention features
US20090228030A1 (en) * 2008-03-07 2009-09-10 Medtronic Xomed, Inc. Systems and methods for surgical removal of tissue
US8109956B2 (en) 2008-03-07 2012-02-07 Medtronic Xomed, Inc. Systems and methods for surgical removal of tissue
US8197501B2 (en) 2008-03-20 2012-06-12 Medtronic Xomed, Inc. Control for a powered surgical instrument
US20090240272A1 (en) * 2008-03-20 2009-09-24 Medtronic Xomed, Inc. Control For A Powered Surgical Instrument
US8545527B2 (en) 2008-03-20 2013-10-01 Medtronic Xomed, Inc. Control for a powered surgical instrument
US9023071B2 (en) * 2008-09-12 2015-05-05 Ethicon Endo-Surgery, Inc. Ultrasonic device for fingertip control
US20100069940A1 (en) * 2008-09-12 2010-03-18 Miller Matthew C Ultrasonic Device for Fingertip Control
US9107688B2 (en) 2008-09-12 2015-08-18 Ethicon Endo-Surgery, Inc. Activation feature for surgical instrument with pencil grip
US10258336B2 (en) 2008-09-19 2019-04-16 Ethicon Llc Stapling system configured to produce different formed staple heights
US11123071B2 (en) 2008-09-19 2021-09-21 Cilag Gmbh International Staple cartridge for us with a surgical instrument
US9386983B2 (en) * 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US9050083B2 (en) * 2008-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US9005230B2 (en) * 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11617576B2 (en) 2008-09-23 2023-04-04 Cilag Gmbh International Motor-driven surgical cutting instrument
US11103241B2 (en) 2008-09-23 2021-08-31 Cilag Gmbh International Motor-driven surgical cutting instrument
US11617575B2 (en) 2008-09-23 2023-04-04 Cilag Gmbh International Motor-driven surgical cutting instrument
US9028519B2 (en) * 2008-09-23 2015-05-12 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US10238389B2 (en) 2008-09-23 2019-03-26 Ethicon Llc Robotically-controlled motorized surgical instrument with an end effector
US11871923B2 (en) 2008-09-23 2024-01-16 Cilag Gmbh International Motorized surgical instrument
US9549732B2 (en) 2008-09-23 2017-01-24 Ethicon Endo-Surgery, Llc Motor-driven surgical cutting instrument
US9655614B2 (en) 2008-09-23 2017-05-23 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument with an end effector
US10105136B2 (en) 2008-09-23 2018-10-23 Ethicon Llc Robotically-controlled motorized surgical instrument with an end effector
US20110125177A1 (en) * 2008-09-23 2011-05-26 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11045189B2 (en) 2008-09-23 2021-06-29 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8602287B2 (en) 2008-09-23 2013-12-10 Ethicon Endo-Surgery, Inc. Motor driven surgical cutting instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8602288B2 (en) 2008-09-23 2013-12-10 Ethicon Endo-Surgery. Inc. Robotically-controlled motorized surgical end effector system with rotary actuated closure systems having variable actuation speeds
US10980535B2 (en) 2008-09-23 2021-04-20 Ethicon Llc Motorized surgical instrument with an end effector
US10130361B2 (en) 2008-09-23 2018-11-20 Ethicon Llc Robotically-controller motorized surgical tool with an end effector
US10736628B2 (en) 2008-09-23 2020-08-11 Ethicon Llc Motor-driven surgical cutting instrument
US10045778B2 (en) 2008-09-23 2018-08-14 Ethicon Llc Robotically-controlled motorized surgical instrument with an end effector
US11517304B2 (en) 2008-09-23 2022-12-06 Cilag Gmbh International Motor-driven surgical cutting instrument
US10898184B2 (en) 2008-09-23 2021-01-26 Ethicon Llc Motor-driven surgical cutting instrument
US20110295269A1 (en) * 2008-09-23 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical instrument
US10765425B2 (en) 2008-09-23 2020-09-08 Ethicon Llc Robotically-controlled motorized surgical instrument with an end effector
US11406380B2 (en) * 2008-09-23 2022-08-09 Cilag Gmbh International Motorized surgical instrument
US10420549B2 (en) 2008-09-23 2019-09-24 Ethicon Llc Motorized surgical instrument
US20180085116A1 (en) * 2008-09-23 2018-03-29 Ethicon Llc Motorized surgical instrument
US10456133B2 (en) 2008-09-23 2019-10-29 Ethicon Llc Motorized surgical instrument
US11812954B2 (en) 2008-09-23 2023-11-14 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US10485537B2 (en) 2008-09-23 2019-11-26 Ethicon Llc Motorized surgical instrument
US11684361B2 (en) 2008-09-23 2023-06-27 Cilag Gmbh International Motor-driven surgical cutting instrument
US10932778B2 (en) 2008-10-10 2021-03-02 Ethicon Llc Powered surgical cutting and stapling apparatus with manually retractable firing system
US11583279B2 (en) 2008-10-10 2023-02-21 Cilag Gmbh International Powered surgical cutting and stapling apparatus with manually retractable firing system
US10149683B2 (en) 2008-10-10 2018-12-11 Ethicon Llc Powered surgical cutting and stapling apparatus with manually retractable firing system
US9370364B2 (en) 2008-10-10 2016-06-21 Ethicon Endo-Surgery, Llc Powered surgical cutting and stapling apparatus with manually retractable firing system
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US11730477B2 (en) 2008-10-10 2023-08-22 Cilag Gmbh International Powered surgical system with manually retractable firing system
US11793521B2 (en) 2008-10-10 2023-10-24 Cilag Gmbh International Powered surgical cutting and stapling apparatus with manually retractable firing system
US8702623B2 (en) 2008-12-18 2014-04-22 Devicor Medical Products, Inc. Biopsy device with discrete tissue chambers
US20100160824A1 (en) * 2008-12-18 2010-06-24 Parihar Shailendra K Biopsy Device with Discrete Tissue Chambers
US20100191266A1 (en) * 2009-01-28 2010-07-29 Medtronic Xomed, Inc. Systems and methods for surgical removal of brain tumors
US8721669B2 (en) 2009-01-28 2014-05-13 Medtronic Xomed, Inc. Systems and methods for surgical removal of brain tumors
US8070765B2 (en) 2009-01-28 2011-12-06 Medtronic Xomed, Inc. Systems and methods for surgical removal of brain tumors
US8397971B2 (en) 2009-02-05 2013-03-19 Ethicon Endo-Surgery, Inc. Sterilizable surgical instrument
US10758233B2 (en) 2009-02-05 2020-09-01 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US8414577B2 (en) 2009-02-05 2013-04-09 Ethicon Endo-Surgery, Inc. Surgical instruments and components for use in sterile environments
US11129615B2 (en) 2009-02-05 2021-09-28 Cilag Gmbh International Surgical stapling system
US9393015B2 (en) 2009-02-06 2016-07-19 Ethicon Endo-Surgery, Llc Motor driven surgical fastener device with cutting member reversing mechanism
US10420550B2 (en) 2009-02-06 2019-09-24 Ethicon Llc Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated
US9486214B2 (en) 2009-02-06 2016-11-08 Ethicon Endo-Surgery, Llc Motor driven surgical fastener device with switching system configured to prevent firing initiation until activated
US9427279B2 (en) 2009-02-26 2016-08-30 Stryker Corporation Surgical tool arrangement having a handpiece usable with multiple surgical tools
US9776275B2 (en) * 2009-07-06 2017-10-03 Lincoln Global, Inc. Synergistic welding and electrode selection and identification method
US20150076127A1 (en) * 2009-07-06 2015-03-19 Lincoln Global, Inc. Synergistic welding and electrode selection and identification method
US20110066156A1 (en) * 2009-09-14 2011-03-17 Warsaw Orthopedic, Inc. Surgical Tool
US10070871B2 (en) 2009-09-14 2018-09-11 Warsaw Orthopedic, Inc. Surgical tool
US11291449B2 (en) 2009-12-24 2022-04-05 Cilag Gmbh International Surgical cutting instrument that analyzes tissue thickness
US10751076B2 (en) 2009-12-24 2020-08-25 Ethicon Llc Motor-driven surgical cutting instrument with electric actuator directional control assembly
EP3738531A1 (en) * 2010-02-11 2020-11-18 Ethicon LLC Ultrasonically powered surgical instruments with rotating cutting implement
US9119660B2 (en) 2010-02-26 2015-09-01 Cardiovascular Systems, Inc. Rotational atherectomy device with electric motor
US9119661B2 (en) 2010-02-26 2015-09-01 Cardiovascular Systems, Inc. Rotational atherectomy device with electric motor
US20110213391A1 (en) * 2010-02-26 2011-09-01 Cardiovascular Systems, Inc. Rotational atherectomy device with electric motor
US9050126B2 (en) 2010-02-26 2015-06-09 Cardiovascular Systems, Inc. Rotational atherectomy device with electric motor
US9220529B2 (en) 2010-02-26 2015-12-29 Cardiovascular Systems, Inc. Rotational atherectomy device with electric motor
US11478247B2 (en) 2010-07-30 2022-10-25 Cilag Gmbh International Tissue acquisition arrangements and methods for surgical stapling devices
US9597075B2 (en) 2010-07-30 2017-03-21 Ethicon Endo-Surgery, Inc. Tissue acquisition arrangements and methods for surgical stapling devices
US10470770B2 (en) 2010-07-30 2019-11-12 Ethicon Llc Circular surgical fastening devices with tissue acquisition arrangements
US8558430B2 (en) 2010-08-19 2013-10-15 Braun Gmbh Resonant motor unit and electric device with resonant motor unit
US8789741B2 (en) 2010-09-24 2014-07-29 Ethicon Endo-Surgery, Inc. Surgical instrument with trigger assembly for generating multiple actuation motions
US10405854B2 (en) 2010-09-30 2019-09-10 Ethicon Llc Surgical stapling cartridge with layer retention features
US10743877B2 (en) 2010-09-30 2020-08-18 Ethicon Llc Surgical stapler with floating anvil
US9839420B2 (en) 2010-09-30 2017-12-12 Ethicon Llc Tissue thickness compensator comprising at least one medicament
US10258330B2 (en) 2010-09-30 2019-04-16 Ethicon Llc End effector including an implantable arrangement
US10258332B2 (en) 2010-09-30 2019-04-16 Ethicon Llc Stapling system comprising an adjunct and a flowable adhesive
US9833242B2 (en) 2010-09-30 2017-12-05 Ethicon Endo-Surgery, Llc Tissue thickness compensators
US9220501B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensators
US9844372B2 (en) 2010-09-30 2017-12-19 Ethicon Llc Retainer assembly including a tissue thickness compensator
US10835251B2 (en) 2010-09-30 2020-11-17 Ethicon Llc Surgical instrument assembly including an end effector configurable in different positions
US11602340B2 (en) 2010-09-30 2023-03-14 Cilag Gmbh International Adhesive film laminate
US10265074B2 (en) 2010-09-30 2019-04-23 Ethicon Llc Implantable layers for surgical stapling devices
US10869669B2 (en) 2010-09-30 2020-12-22 Ethicon Llc Surgical instrument assembly
US9833236B2 (en) 2010-09-30 2017-12-05 Ethicon Llc Tissue thickness compensator for surgical staplers
US11883025B2 (en) 2010-09-30 2024-01-30 Cilag Gmbh International Tissue thickness compensator comprising a plurality of layers
US10265072B2 (en) 2010-09-30 2019-04-23 Ethicon Llc Surgical stapling system comprising an end effector including an implantable layer
US9480476B2 (en) 2010-09-30 2016-11-01 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising resilient members
US9220500B2 (en) 2010-09-30 2015-12-29 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising structure to produce a resilient load
US9314246B2 (en) 2010-09-30 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent
US9833238B2 (en) 2010-09-30 2017-12-05 Ethicon Endo-Surgery, Llc Retainer assembly including a tissue thickness compensator
US9826978B2 (en) 2010-09-30 2017-11-28 Ethicon Llc End effectors with same side closure and firing motions
US11583277B2 (en) 2010-09-30 2023-02-21 Cilag Gmbh International Layer of material for a surgical end effector
US9848875B2 (en) 2010-09-30 2017-12-26 Ethicon Llc Anvil layer attached to a proximal end of an end effector
US9433419B2 (en) 2010-09-30 2016-09-06 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of layers
US9861361B2 (en) 2010-09-30 2018-01-09 Ethicon Llc Releasable tissue thickness compensator and fastener cartridge having the same
US10888328B2 (en) 2010-09-30 2021-01-12 Ethicon Llc Surgical end effector
US10898193B2 (en) 2010-09-30 2021-01-26 Ethicon Llc End effector for use with a surgical instrument
US9814462B2 (en) 2010-09-30 2017-11-14 Ethicon Llc Assembly for fastening tissue comprising a compressible layer
US9808247B2 (en) 2010-09-30 2017-11-07 Ethicon Llc Stapling system comprising implantable layers
US11684360B2 (en) 2010-09-30 2023-06-27 Cilag Gmbh International Staple cartridge comprising a variable thickness compressible portion
US10149682B2 (en) 2010-09-30 2018-12-11 Ethicon Llc Stapling system including an actuation system
US9883861B2 (en) 2010-09-30 2018-02-06 Ethicon Llc Retainer assembly including a tissue thickness compensator
US11571215B2 (en) 2010-09-30 2023-02-07 Cilag Gmbh International Layer of material for a surgical end effector
US10588623B2 (en) 2010-09-30 2020-03-17 Ethicon Llc Adhesive film laminate
US11857187B2 (en) 2010-09-30 2024-01-02 Cilag Gmbh International Tissue thickness compensator comprising controlled release and expansion
US11850310B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge including an adjunct
US9232941B2 (en) 2010-09-30 2016-01-12 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a reservoir
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US10213198B2 (en) 2010-09-30 2019-02-26 Ethicon Llc Actuator for releasing a tissue thickness compensator from a fastener cartridge
US11559496B2 (en) 2010-09-30 2023-01-24 Cilag Gmbh International Tissue thickness compensator configured to redistribute compressive forces
US9924947B2 (en) 2010-09-30 2018-03-27 Ethicon Llc Staple cartridge comprising a compressible portion
US11540824B2 (en) 2010-09-30 2023-01-03 Cilag Gmbh International Tissue thickness compensator
US10485536B2 (en) 2010-09-30 2019-11-26 Ethicon Llc Tissue stapler having an anti-microbial agent
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US11395651B2 (en) 2010-09-30 2022-07-26 Cilag Gmbh International Adhesive film laminate
US9801634B2 (en) 2010-09-30 2017-10-31 Ethicon Llc Tissue thickness compensator for a surgical stapler
US9795383B2 (en) 2010-09-30 2017-10-24 Ethicon Llc Tissue thickness compensator comprising resilient members
US9364233B2 (en) 2010-09-30 2016-06-14 Ethicon Endo-Surgery, Llc Tissue thickness compensators for circular surgical staplers
US11737754B2 (en) 2010-09-30 2023-08-29 Cilag Gmbh International Surgical stapler with floating anvil
US10136890B2 (en) 2010-09-30 2018-11-27 Ethicon Llc Staple cartridge comprising a variable thickness compressible portion
US10335148B2 (en) 2010-09-30 2019-07-02 Ethicon Llc Staple cartridge including a tissue thickness compensator for a surgical stapler
US10335150B2 (en) 2010-09-30 2019-07-02 Ethicon Llc Staple cartridge comprising an implantable layer
US9788834B2 (en) 2010-09-30 2017-10-17 Ethicon Llc Layer comprising deployable attachment members
US9307965B2 (en) 2010-09-30 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an anti-microbial agent
US9358005B2 (en) 2010-09-30 2016-06-07 Ethicon Endo-Surgery, Llc End effector layer including holding features
US11911027B2 (en) 2010-09-30 2024-02-27 Cilag Gmbh International Adhesive film laminate
US10624861B2 (en) 2010-09-30 2020-04-21 Ethicon Llc Tissue thickness compensator configured to redistribute compressive forces
US10987102B2 (en) 2010-09-30 2021-04-27 Ethicon Llc Tissue thickness compensator comprising a plurality of layers
US9566061B2 (en) 2010-09-30 2017-02-14 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a releasably attached tissue thickness compensator
US9615826B2 (en) 2010-09-30 2017-04-11 Ethicon Endo-Surgery, Llc Multiple thickness implantable layers for surgical stapling devices
US10363031B2 (en) 2010-09-30 2019-07-30 Ethicon Llc Tissue thickness compensators for surgical staplers
US9320518B2 (en) 2010-09-30 2016-04-26 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating an oxygen generating agent
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US9572574B2 (en) 2010-09-30 2017-02-21 Ethicon Endo-Surgery, Llc Tissue thickness compensators comprising therapeutic agents
US10548600B2 (en) 2010-09-30 2020-02-04 Ethicon Llc Multiple thickness implantable layers for surgical stapling devices
US9592053B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc Staple cartridge comprising multiple regions
US10028743B2 (en) 2010-09-30 2018-07-24 Ethicon Llc Staple cartridge assembly comprising an implantable layer
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9272406B2 (en) 2010-09-30 2016-03-01 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a cutting member for releasing a tissue thickness compensator
US9277919B2 (en) 2010-09-30 2016-03-08 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising fibers to produce a resilient load
US11154296B2 (en) 2010-09-30 2021-10-26 Cilag Gmbh International Anvil layer attached to a proximal end of an end effector
US9345477B2 (en) 2010-09-30 2016-05-24 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator comprising incorporating a hemostatic agent
US9282962B2 (en) 2010-09-30 2016-03-15 Ethicon Endo-Surgery, Llc Adhesive film laminate
US10463372B2 (en) 2010-09-30 2019-11-05 Ethicon Llc Staple cartridge comprising multiple regions
US11672536B2 (en) 2010-09-30 2023-06-13 Cilag Gmbh International Layer of material for a surgical end effector
US8893949B2 (en) 2010-09-30 2014-11-25 Ethicon Endo-Surgery, Inc. Surgical stapler with floating anvil
US11925354B2 (en) 2010-09-30 2024-03-12 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US10398436B2 (en) 2010-09-30 2019-09-03 Ethicon Llc Staple cartridge comprising staples positioned within a compressible portion thereof
US8978954B2 (en) 2010-09-30 2015-03-17 Ethicon Endo-Surgery, Inc. Staple cartridge comprising an adjustable distal portion
US9700317B2 (en) 2010-09-30 2017-07-11 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a releasable tissue thickness compensator
US11406377B2 (en) 2010-09-30 2022-08-09 Cilag Gmbh International Adhesive film laminate
US10194910B2 (en) 2010-09-30 2019-02-05 Ethicon Llc Stapling assemblies comprising a layer
US10064624B2 (en) 2010-09-30 2018-09-04 Ethicon Llc End effector with implantable layer
US9332974B2 (en) 2010-09-30 2016-05-10 Ethicon Endo-Surgery, Llc Layered tissue thickness compensator
US10123798B2 (en) 2010-09-30 2018-11-13 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US9592050B2 (en) 2010-09-30 2017-03-14 Ethicon Endo-Surgery, Llc End effector comprising a distal tissue abutment member
US10182819B2 (en) 2010-09-30 2019-01-22 Ethicon Llc Implantable layer assemblies
US9301753B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Expandable tissue thickness compensator
US11083452B2 (en) 2010-09-30 2021-08-10 Cilag Gmbh International Staple cartridge including a tissue thickness compensator
US9301752B2 (en) 2010-09-30 2016-04-05 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising a plurality of capsules
US10695062B2 (en) 2010-10-01 2020-06-30 Ethicon Llc Surgical instrument including a retractable firing member
US11529142B2 (en) 2010-10-01 2022-12-20 Cilag Gmbh International Surgical instrument having a power control circuit
USD650074S1 (en) 2010-10-01 2011-12-06 Ethicon Endo-Surgery, Inc. Surgical instrument
US9351730B2 (en) 2011-04-29 2016-05-31 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising channels
US11504116B2 (en) 2011-04-29 2022-11-22 Cilag Gmbh International Layer of material for a surgical end effector
US9241714B2 (en) 2011-04-29 2016-01-26 Ethicon Endo-Surgery, Inc. Tissue thickness compensator and method for making the same
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US10117652B2 (en) 2011-04-29 2018-11-06 Ethicon Llc End effector comprising a tissue thickness compensator and progressively released attachment members
US9913648B2 (en) 2011-05-27 2018-03-13 Ethicon Endo-Surgery, Llc Surgical system
US9271799B2 (en) 2011-05-27 2016-03-01 Ethicon Endo-Surgery, Llc Robotic surgical system with removable motor housing
US11612394B2 (en) 2011-05-27 2023-03-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11129616B2 (en) 2011-05-27 2021-09-28 Cilag Gmbh International Surgical stapling system
US10813641B2 (en) 2011-05-27 2020-10-27 Ethicon Llc Robotically-driven surgical instrument
US10617420B2 (en) 2011-05-27 2020-04-14 Ethicon Llc Surgical system comprising drive systems
US10426478B2 (en) 2011-05-27 2019-10-01 Ethicon Llc Surgical stapling systems
US11583278B2 (en) 2011-05-27 2023-02-21 Cilag Gmbh International Surgical stapling system having multi-direction articulation
US10420561B2 (en) 2011-05-27 2019-09-24 Ethicon Llc Robotically-driven surgical instrument
US10071452B2 (en) 2011-05-27 2018-09-11 Ethicon Llc Automated end effector component reloading system for use with a robotic system
US10780539B2 (en) 2011-05-27 2020-09-22 Ethicon Llc Stapling instrument for use with a robotic system
US10231794B2 (en) 2011-05-27 2019-03-19 Ethicon Llc Surgical stapling instruments with rotatable staple deployment arrangements
US10130366B2 (en) 2011-05-27 2018-11-20 Ethicon Llc Automated reloading devices for replacing used end effectors on robotic surgical systems
US10485546B2 (en) 2011-05-27 2019-11-26 Ethicon Llc Robotically-driven surgical assembly
US11918208B2 (en) 2011-05-27 2024-03-05 Cilag Gmbh International Robotically-controlled shaft based rotary drive systems for surgical instruments
US11266410B2 (en) 2011-05-27 2022-03-08 Cilag Gmbh International Surgical device for use with a robotic system
US10383633B2 (en) 2011-05-27 2019-08-20 Ethicon Llc Robotically-driven surgical assembly
US10524790B2 (en) 2011-05-27 2020-01-07 Ethicon Llc Robotically-controlled surgical stapling devices that produce formed staples having different lengths
US10335151B2 (en) 2011-05-27 2019-07-02 Ethicon Llc Robotically-driven surgical instrument
US11439470B2 (en) 2011-05-27 2022-09-13 Cilag Gmbh International Robotically-controlled surgical instrument with selectively articulatable end effector
US9775614B2 (en) 2011-05-27 2017-10-03 Ethicon Endo-Surgery, Llc Surgical stapling instruments with rotatable staple deployment arrangements
US10004506B2 (en) 2011-05-27 2018-06-26 Ethicon Llc Surgical system
US11207064B2 (en) 2011-05-27 2021-12-28 Cilag Gmbh International Automated end effector component reloading system for use with a robotic system
US10736634B2 (en) 2011-05-27 2020-08-11 Ethicon Llc Robotically-driven surgical instrument including a drive system
US10980534B2 (en) 2011-05-27 2021-04-20 Ethicon Llc Robotically-controlled motorized surgical instrument with an end effector
US9387059B2 (en) 2011-07-25 2016-07-12 Braun Gmbh Oral cleaning tool for an oral hygiene device
US10327876B2 (en) 2011-07-25 2019-06-25 Braun Gmbh Oral cleaning tool for an oral hygiene device
US8631532B2 (en) 2011-07-25 2014-01-21 Braun Gmbh Oral hygiene device
US9099939B2 (en) 2011-07-25 2015-08-04 Braun Gmbh Linear electro-polymer motors and devices having the same
US9226808B2 (en) 2011-07-25 2016-01-05 Braun Gmbh Attachment section for an oral hygiene device
US9216019B2 (en) 2011-09-23 2015-12-22 Ethicon Endo-Surgery, Inc. Surgical stapler with stationary staple drivers
US9592054B2 (en) 2011-09-23 2017-03-14 Ethicon Endo-Surgery, Llc Surgical stapler with stationary staple drivers
US9050084B2 (en) 2011-09-23 2015-06-09 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck arrangement
US9687237B2 (en) 2011-09-23 2017-06-27 Ethicon Endo-Surgery, Llc Staple cartridge including collapsible deck arrangement
US9055941B2 (en) 2011-09-23 2015-06-16 Ethicon Endo-Surgery, Inc. Staple cartridge including collapsible deck
US10695063B2 (en) 2012-02-13 2020-06-30 Ethicon Llc Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9730697B2 (en) 2012-02-13 2017-08-15 Ethicon Endo-Surgery, Llc Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US9044230B2 (en) 2012-02-13 2015-06-02 Ethicon Endo-Surgery, Inc. Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status
US11793509B2 (en) 2012-03-28 2023-10-24 Cilag Gmbh International Staple cartridge including an implantable layer
US9198662B2 (en) 2012-03-28 2015-12-01 Ethicon Endo-Surgery, Inc. Tissue thickness compensator having improved visibility
US9724098B2 (en) 2012-03-28 2017-08-08 Ethicon Endo-Surgery, Llc Staple cartridge comprising an implantable layer
US10667808B2 (en) 2012-03-28 2020-06-02 Ethicon Llc Staple cartridge comprising an absorbable adjunct
US11406378B2 (en) 2012-03-28 2022-08-09 Cilag Gmbh International Staple cartridge comprising a compressible tissue thickness compensator
US9918716B2 (en) 2012-03-28 2018-03-20 Ethicon Llc Staple cartridge comprising implantable layers
US9204880B2 (en) 2012-03-28 2015-12-08 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising capsules defining a low pressure environment
US10441285B2 (en) 2012-03-28 2019-10-15 Ethicon Llc Tissue thickness compensator comprising tissue ingrowth features
US9320523B2 (en) 2012-03-28 2016-04-26 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprising tissue ingrowth features
US9307989B2 (en) 2012-03-28 2016-04-12 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorportating a hydrophobic agent
US11918220B2 (en) 2012-03-28 2024-03-05 Cilag Gmbh International Tissue thickness compensator comprising tissue ingrowth features
US9974538B2 (en) 2012-03-28 2018-05-22 Ethicon Llc Staple cartridge comprising a compressible layer
US9314247B2 (en) 2012-03-28 2016-04-19 Ethicon Endo-Surgery, Llc Tissue stapler having a thickness compensator incorporating a hydrophilic agent
US9414838B2 (en) 2012-03-28 2016-08-16 Ethicon Endo-Surgery, Llc Tissue thickness compensator comprised of a plurality of materials
US9517063B2 (en) 2012-03-28 2016-12-13 Ethicon Endo-Surgery, Llc Movable member for use with a tissue thickness compensator
US10595831B2 (en) 2012-05-30 2020-03-24 Devicor Medical Products, Inc. Control for biopsy device
US11707273B2 (en) 2012-06-15 2023-07-25 Cilag Gmbh International Articulatable surgical instrument comprising a firing drive
US10959725B2 (en) 2012-06-15 2021-03-30 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US10064621B2 (en) 2012-06-15 2018-09-04 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US11007004B2 (en) 2012-06-28 2021-05-18 Ethicon Llc Powered multi-axial articulable electrosurgical device with external dissection features
US11083457B2 (en) 2012-06-28 2021-08-10 Cilag Gmbh International Surgical instrument system including replaceable end effectors
US9119657B2 (en) 2012-06-28 2015-09-01 Ethicon Endo-Surgery, Inc. Rotary actuatable closure arrangement for surgical end effector
US10874391B2 (en) 2012-06-28 2020-12-29 Ethicon Llc Surgical instrument system including replaceable end effectors
US9101385B2 (en) 2012-06-28 2015-08-11 Ethicon Endo-Surgery, Inc. Electrode connections for rotary driven surgical tools
US11197671B2 (en) 2012-06-28 2021-12-14 Cilag Gmbh International Stapling assembly comprising a lockout
US11534162B2 (en) 2012-06-28 2022-12-27 Cilag GmbH Inlernational Robotically powered surgical device with manually-actuatable reversing system
US9282974B2 (en) 2012-06-28 2016-03-15 Ethicon Endo-Surgery, Llc Empty clip cartridge lockout
US8747238B2 (en) 2012-06-28 2014-06-10 Ethicon Endo-Surgery, Inc. Rotary drive shaft assemblies for surgical instruments with articulatable end effectors
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US10383630B2 (en) 2012-06-28 2019-08-20 Ethicon Llc Surgical stapling device with rotary driven firing member
US9072536B2 (en) 2012-06-28 2015-07-07 Ethicon Endo-Surgery, Inc. Differential locking arrangements for rotary powered surgical instruments
US11039837B2 (en) 2012-06-28 2021-06-22 Cilag Gmbh International Firing system lockout arrangements for surgical instruments
US11154299B2 (en) 2012-06-28 2021-10-26 Cilag Gmbh International Stapling assembly comprising a firing lockout
US11779420B2 (en) 2012-06-28 2023-10-10 Cilag Gmbh International Robotic surgical attachments having manually-actuated retraction assemblies
US11202631B2 (en) 2012-06-28 2021-12-21 Cilag Gmbh International Stapling assembly comprising a firing lockout
US11918213B2 (en) 2012-06-28 2024-03-05 Cilag Gmbh International Surgical stapler including couplers for attaching a shaft to an end effector
US11141155B2 (en) 2012-06-28 2021-10-12 Cilag Gmbh International Drive system for surgical tool
US11141156B2 (en) 2012-06-28 2021-10-12 Cilag Gmbh International Surgical stapling assembly comprising flexible output shaft
US11622766B2 (en) 2012-06-28 2023-04-11 Cilag Gmbh International Empty clip cartridge lockout
US11540829B2 (en) 2012-06-28 2023-01-03 Cilag Gmbh International Surgical instrument system including replaceable end effectors
US11806013B2 (en) 2012-06-28 2023-11-07 Cilag Gmbh International Firing system arrangements for surgical instruments
US9125662B2 (en) 2012-06-28 2015-09-08 Ethicon Endo-Surgery, Inc. Multi-axis articulating and rotating surgical tools
US11602346B2 (en) 2012-06-28 2023-03-14 Cilag Gmbh International Robotically powered surgical device with manually-actuatable reversing system
US11241230B2 (en) 2012-06-28 2022-02-08 Cilag Gmbh International Clip applier tool for use with a robotic surgical system
US9226751B2 (en) 2012-06-28 2016-01-05 Ethicon Endo-Surgery, Inc. Surgical instrument system including replaceable end effectors
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US10687812B2 (en) 2012-06-28 2020-06-23 Ethicon Llc Surgical instrument system including replaceable end effectors
US11058423B2 (en) 2012-06-28 2021-07-13 Cilag Gmbh International Stapling system including first and second closure systems for use with a surgical robot
US11510671B2 (en) 2012-06-28 2022-11-29 Cilag Gmbh International Firing system lockout arrangements for surgical instruments
US11278284B2 (en) 2012-06-28 2022-03-22 Cilag Gmbh International Rotary drive arrangements for surgical instruments
US11464513B2 (en) 2012-06-28 2022-10-11 Cilag Gmbh International Surgical instrument system including replaceable end effectors
US10932775B2 (en) 2012-06-28 2021-03-02 Ethicon Llc Firing system lockout arrangements for surgical instruments
US10258333B2 (en) 2012-06-28 2019-04-16 Ethicon Llc Surgical fastening apparatus with a rotary end effector drive shaft for selective engagement with a motorized drive system
US11109860B2 (en) 2012-06-28 2021-09-07 Cilag Gmbh International Surgical end effectors for use with hand-held and robotically-controlled rotary powered surgical systems
US9364230B2 (en) 2012-06-28 2016-06-14 Ethicon Endo-Surgery, Llc Surgical stapling instruments with rotary joint assemblies
US11857189B2 (en) 2012-06-28 2024-01-02 Cilag Gmbh International Surgical instrument including first and second articulation joints
US9028494B2 (en) 2012-06-28 2015-05-12 Ethicon Endo-Surgery, Inc. Interchangeable end effector coupling arrangement
US9204879B2 (en) 2012-06-28 2015-12-08 Ethicon Endo-Surgery, Inc. Flexible drive member
US10485541B2 (en) 2012-06-28 2019-11-26 Ethicon Llc Robotically powered surgical device with manually-actuatable reversing system
US9561038B2 (en) 2012-06-28 2017-02-07 Ethicon Endo-Surgery, Llc Interchangeable clip applier
US10413294B2 (en) 2012-06-28 2019-09-17 Ethicon Llc Shaft assembly arrangements for surgical instruments
US9907620B2 (en) 2012-06-28 2018-03-06 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US10639115B2 (en) 2012-06-28 2020-05-05 Ethicon Llc Surgical end effectors having angled tissue-contacting surfaces
US10420555B2 (en) 2012-06-28 2019-09-24 Ethicon Llc Hand held rotary powered surgical instruments with end effectors that are articulatable about multiple axes
US11373755B2 (en) 2012-08-23 2022-06-28 Cilag Gmbh International Surgical device drive system including a ratchet mechanism
JP2016503716A (en) * 2013-01-18 2016-02-08 エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc. Motorized surgical instrument
US9386984B2 (en) 2013-02-08 2016-07-12 Ethicon Endo-Surgery, Llc Staple cartridge comprising a releasable cover
US10092292B2 (en) 2013-02-28 2018-10-09 Ethicon Llc Staple forming features for surgical stapling instrument
US9398911B2 (en) 2013-03-01 2016-07-26 Ethicon Endo-Surgery, Llc Rotary powered surgical instruments with multiple degrees of freedom
US11529138B2 (en) 2013-03-01 2022-12-20 Cilag Gmbh International Powered surgical instrument including a rotary drive screw
US11246618B2 (en) 2013-03-01 2022-02-15 Cilag Gmbh International Surgical instrument soft stop
US9358003B2 (en) 2013-03-01 2016-06-07 Ethicon Endo-Surgery, Llc Electromechanical surgical device with signal relay arrangement
US9326767B2 (en) 2013-03-01 2016-05-03 Ethicon Endo-Surgery, Llc Joystick switch assemblies for surgical instruments
US10226249B2 (en) 2013-03-01 2019-03-12 Ethicon Llc Articulatable surgical instruments with conductive pathways for signal communication
US9554794B2 (en) 2013-03-01 2017-01-31 Ethicon Endo-Surgery, Llc Multiple processor motor control for modular surgical instruments
US9782169B2 (en) 2013-03-01 2017-10-10 Ethicon Llc Rotary powered articulation joints for surgical instruments
US9307986B2 (en) 2013-03-01 2016-04-12 Ethicon Endo-Surgery, Llc Surgical instrument soft stop
US9700309B2 (en) 2013-03-01 2017-07-11 Ethicon Llc Articulatable surgical instruments with conductive pathways for signal communication
US10285695B2 (en) 2013-03-01 2019-05-14 Ethicon Llc Articulatable surgical instruments with conductive pathways
US9468438B2 (en) 2013-03-01 2016-10-18 Eticon Endo-Surgery, LLC Sensor straightened end effector during removal through trocar
US10575868B2 (en) 2013-03-01 2020-03-03 Ethicon Llc Surgical instrument with coupler assembly
US9345481B2 (en) 2013-03-13 2016-05-24 Ethicon Endo-Surgery, Llc Staple cartridge tissue thickness sensor system
US10617416B2 (en) 2013-03-14 2020-04-14 Ethicon Llc Control systems for surgical instruments
US10470762B2 (en) 2013-03-14 2019-11-12 Ethicon Llc Multi-function motor for a surgical instrument
US9629623B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgery, Llc Drive system lockout arrangements for modular surgical instruments
US9332987B2 (en) 2013-03-14 2016-05-10 Ethicon Endo-Surgery, Llc Control arrangements for a drive member of a surgical instrument
US9687230B2 (en) 2013-03-14 2017-06-27 Ethicon Llc Articulatable surgical instrument comprising a firing drive
US9888919B2 (en) 2013-03-14 2018-02-13 Ethicon Llc Method and system for operating a surgical instrument
US9883860B2 (en) 2013-03-14 2018-02-06 Ethicon Llc Interchangeable shaft assemblies for use with a surgical instrument
US11266406B2 (en) 2013-03-14 2022-03-08 Cilag Gmbh International Control systems for surgical instruments
US9351727B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Drive train control arrangements for modular surgical instruments
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
US9808244B2 (en) 2013-03-14 2017-11-07 Ethicon Llc Sensor arrangements for absolute positioning system for surgical instruments
US10893867B2 (en) 2013-03-14 2021-01-19 Ethicon Llc Drive train control arrangements for modular surgical instruments
US10238391B2 (en) 2013-03-14 2019-03-26 Ethicon Llc Drive train control arrangements for modular surgical instruments
US9351726B2 (en) 2013-03-14 2016-05-31 Ethicon Endo-Surgery, Llc Articulation control system for articulatable surgical instruments
US9354636B2 (en) 2013-03-15 2016-05-31 Regal Beloit America, Inc. User-interface for pump system
US9387502B2 (en) 2013-03-15 2016-07-12 Regal Beloit America, Inc. Schedule advance for pump motor controller
US9885351B2 (en) 2013-03-15 2018-02-06 Regal Beloit America, Inc. System and method of controlling a pump system using integrated digital inputs
US9572577B2 (en) 2013-03-27 2017-02-21 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a tissue thickness compensator including openings therein
US9332984B2 (en) 2013-03-27 2016-05-10 Ethicon Endo-Surgery, Llc Fastener cartridge assemblies
US9795384B2 (en) 2013-03-27 2017-10-24 Ethicon Llc Fastener cartridge comprising a tissue thickness compensator and a gap setting element
US9649110B2 (en) 2013-04-16 2017-05-16 Ethicon Llc Surgical instrument comprising a closing drive and a firing drive operated from the same rotatable output
US11564679B2 (en) 2013-04-16 2023-01-31 Cilag Gmbh International Powered surgical stapler
US11633183B2 (en) 2013-04-16 2023-04-25 Cilag International GmbH Stapling assembly comprising a retraction drive
US10149680B2 (en) 2013-04-16 2018-12-11 Ethicon Llc Surgical instrument comprising a gap setting system
US9814460B2 (en) 2013-04-16 2017-11-14 Ethicon Llc Modular motor driven surgical instruments with status indication arrangements
US11395652B2 (en) 2013-04-16 2022-07-26 Cilag Gmbh International Powered surgical stapler
US9826976B2 (en) 2013-04-16 2017-11-28 Ethicon Llc Motor driven surgical instruments with lockable dual drive shafts
US10888318B2 (en) 2013-04-16 2021-01-12 Ethicon Llc Powered surgical stapler
US10702266B2 (en) 2013-04-16 2020-07-07 Ethicon Llc Surgical instrument system
US9801626B2 (en) 2013-04-16 2017-10-31 Ethicon Llc Modular motor driven surgical instruments with alignment features for aligning rotary drive shafts with surgical end effector shafts
US11622763B2 (en) 2013-04-16 2023-04-11 Cilag Gmbh International Stapling assembly comprising a shiftable drive
US9867612B2 (en) 2013-04-16 2018-01-16 Ethicon Llc Powered surgical stapler
US9844368B2 (en) 2013-04-16 2017-12-19 Ethicon Llc Surgical system comprising first and second drive systems
US11638581B2 (en) 2013-04-16 2023-05-02 Cilag Gmbh International Powered surgical stapler
US10136887B2 (en) 2013-04-16 2018-11-27 Ethicon Llc Drive system decoupling arrangement for a surgical instrument
US11406381B2 (en) 2013-04-16 2022-08-09 Cilag Gmbh International Powered surgical stapler
US10405857B2 (en) 2013-04-16 2019-09-10 Ethicon Llc Powered linear surgical stapler
US11690615B2 (en) 2013-04-16 2023-07-04 Cilag Gmbh International Surgical system including an electric motor and a surgical instrument
US9574644B2 (en) 2013-05-30 2017-02-21 Ethicon Endo-Surgery, Llc Power module for use with a surgical instrument
US10828032B2 (en) 2013-08-23 2020-11-10 Ethicon Llc End effector detection systems for surgical instruments
US11109858B2 (en) 2013-08-23 2021-09-07 Cilag Gmbh International Surgical instrument including a display which displays the position of a firing element
US11701110B2 (en) 2013-08-23 2023-07-18 Cilag Gmbh International Surgical instrument including a drive assembly movable in a non-motorized mode of operation
US9283054B2 (en) 2013-08-23 2016-03-15 Ethicon Endo-Surgery, Llc Interactive displays
US10441281B2 (en) 2013-08-23 2019-10-15 Ethicon Llc surgical instrument including securing and aligning features
US11026680B2 (en) 2013-08-23 2021-06-08 Cilag Gmbh International Surgical instrument configured to operate in different states
US10869665B2 (en) 2013-08-23 2020-12-22 Ethicon Llc Surgical instrument system including a control system
US9510828B2 (en) 2013-08-23 2016-12-06 Ethicon Endo-Surgery, Llc Conductor arrangements for electrically powered surgical instruments with rotatable end effectors
US9987006B2 (en) 2013-08-23 2018-06-05 Ethicon Llc Shroud retention arrangement for sterilizable surgical instruments
US9700310B2 (en) 2013-08-23 2017-07-11 Ethicon Llc Firing member retraction devices for powered surgical instruments
US9775609B2 (en) 2013-08-23 2017-10-03 Ethicon Llc Tamper proof circuit for surgical instrument battery pack
US9808249B2 (en) 2013-08-23 2017-11-07 Ethicon Llc Attachment portions for surgical instrument assemblies
US10624634B2 (en) 2013-08-23 2020-04-21 Ethicon Llc Firing trigger lockout arrangements for surgical instruments
US9924942B2 (en) 2013-08-23 2018-03-27 Ethicon Llc Motor-powered articulatable surgical instruments
US11504119B2 (en) 2013-08-23 2022-11-22 Cilag Gmbh International Surgical instrument including an electronic firing lockout
US11918209B2 (en) 2013-08-23 2024-03-05 Cilag Gmbh International Torque optimization for surgical instruments
US9445813B2 (en) 2013-08-23 2016-09-20 Ethicon Endo-Surgery, Llc Closure indicator systems for surgical instruments
US11389160B2 (en) 2013-08-23 2022-07-19 Cilag Gmbh International Surgical system comprising a display
US11134940B2 (en) 2013-08-23 2021-10-05 Cilag Gmbh International Surgical instrument including a variable speed firing member
US11000274B2 (en) 2013-08-23 2021-05-11 Ethicon Llc Powered surgical instrument
US10898190B2 (en) 2013-08-23 2021-01-26 Ethicon Llc Secondary battery arrangements for powered surgical instruments
US11376001B2 (en) 2013-08-23 2022-07-05 Cilag Gmbh International Surgical stapling device with rotary multi-turn retraction mechanism
US11133106B2 (en) 2013-08-23 2021-09-28 Cilag Gmbh International Surgical instrument assembly comprising a retraction assembly
US10201349B2 (en) 2013-08-23 2019-02-12 Ethicon Llc End effector detection and firing rate modulation systems for surgical instruments
US9468457B2 (en) 2013-09-30 2016-10-18 Cardiovascular Systems, Inc. Atherectomy device with eccentric crown
USD766433S1 (en) 2013-11-04 2016-09-13 Cardiovascular Systems, Inc. Eccentric crown
US11026677B2 (en) 2013-12-23 2021-06-08 Cilag Gmbh International Surgical stapling assembly
US11896223B2 (en) 2013-12-23 2024-02-13 Cilag Gmbh International Surgical cutting and stapling instruments with independent jaw control features
US10588624B2 (en) 2013-12-23 2020-03-17 Ethicon Llc Surgical staples, staple cartridges and surgical end effectors
US10265065B2 (en) 2013-12-23 2019-04-23 Ethicon Llc Surgical staples and staple cartridges
US11246587B2 (en) 2013-12-23 2022-02-15 Cilag Gmbh International Surgical cutting and stapling instruments
US11020109B2 (en) 2013-12-23 2021-06-01 Ethicon Llc Surgical stapling assembly for use with a powered surgical interface
US11759201B2 (en) 2013-12-23 2023-09-19 Cilag Gmbh International Surgical stapling system comprising an end effector including an anvil with an anvil cap
US11779327B2 (en) 2013-12-23 2023-10-10 Cilag Gmbh International Surgical stapling system including a push bar
US11123065B2 (en) 2013-12-23 2021-09-21 Cilag Gmbh International Surgical cutting and stapling instruments with independent jaw control features
US11583273B2 (en) 2013-12-23 2023-02-21 Cilag Gmbh International Surgical stapling system including a firing beam extending through an articulation region
US11364028B2 (en) 2013-12-23 2022-06-21 Cilag Gmbh International Modular surgical system
US10925599B2 (en) 2013-12-23 2021-02-23 Ethicon Llc Modular surgical instruments
US10052122B2 (en) 2014-01-17 2018-08-21 Cardiovascular Systems, Inc. Spin-to-open atherectomy device with electric motor control
US9962161B2 (en) 2014-02-12 2018-05-08 Ethicon Llc Deliverable surgical instrument
US11020115B2 (en) 2014-02-12 2021-06-01 Cilag Gmbh International Deliverable surgical instrument
US9757124B2 (en) 2014-02-24 2017-09-12 Ethicon Llc Implantable layer assemblies
US9839422B2 (en) 2014-02-24 2017-12-12 Ethicon Llc Implantable layers and methods for altering implantable layers for use with surgical fastening instruments
US9693777B2 (en) 2014-02-24 2017-07-04 Ethicon Llc Implantable layers comprising a pressed region
US10426481B2 (en) 2014-02-24 2019-10-01 Ethicon Llc Implantable layer assemblies
US9884456B2 (en) 2014-02-24 2018-02-06 Ethicon Llc Implantable layers and methods for altering one or more properties of implantable layers for use with fastening instruments
US9839423B2 (en) 2014-02-24 2017-12-12 Ethicon Llc Implantable layers and methods for modifying the shape of the implantable layers for use with a surgical fastening instrument
US9775608B2 (en) 2014-02-24 2017-10-03 Ethicon Llc Fastening system comprising a firing member lockout
US9733663B2 (en) 2014-03-26 2017-08-15 Ethicon Llc Power management through segmented circuit and variable voltage protection
US9804618B2 (en) 2014-03-26 2017-10-31 Ethicon Llc Systems and methods for controlling a segmented circuit
US9690362B2 (en) 2014-03-26 2017-06-27 Ethicon Llc Surgical instrument control circuit having a safety processor
US10201364B2 (en) 2014-03-26 2019-02-12 Ethicon Llc Surgical instrument comprising a rotatable shaft
US10136889B2 (en) 2014-03-26 2018-11-27 Ethicon Llc Systems and methods for controlling a segmented circuit
US10117653B2 (en) 2014-03-26 2018-11-06 Ethicon Llc Systems and methods for controlling a segmented circuit
US10588626B2 (en) 2014-03-26 2020-03-17 Ethicon Llc Surgical instrument displaying subsequent step of use
US10863981B2 (en) 2014-03-26 2020-12-15 Ethicon Llc Interface systems for use with surgical instruments
US10028761B2 (en) 2014-03-26 2018-07-24 Ethicon Llc Feedback algorithms for manual bailout systems for surgical instruments
US9730695B2 (en) 2014-03-26 2017-08-15 Ethicon Endo-Surgery, Llc Power management through segmented circuit
US10013049B2 (en) 2014-03-26 2018-07-03 Ethicon Llc Power management through sleep options of segmented circuit and wake up control
US10004497B2 (en) 2014-03-26 2018-06-26 Ethicon Llc Interface systems for use with surgical instruments
US9743929B2 (en) 2014-03-26 2017-08-29 Ethicon Llc Modular powered surgical instrument with detachable shaft assemblies
US9750499B2 (en) 2014-03-26 2017-09-05 Ethicon Llc Surgical stapling instrument system
US11497488B2 (en) 2014-03-26 2022-11-15 Cilag Gmbh International Systems and methods for controlling a segmented circuit
US11259799B2 (en) 2014-03-26 2022-03-01 Cilag Gmbh International Interface systems for use with surgical instruments
US10898185B2 (en) 2014-03-26 2021-01-26 Ethicon Llc Surgical instrument power management through sleep and wake up control
US9913642B2 (en) 2014-03-26 2018-03-13 Ethicon Llc Surgical instrument comprising a sensor system
US9826977B2 (en) 2014-03-26 2017-11-28 Ethicon Llc Sterilization verification circuit
US9820738B2 (en) 2014-03-26 2017-11-21 Ethicon Llc Surgical instrument comprising interactive systems
US10542988B2 (en) 2014-04-16 2020-01-28 Ethicon Llc End effector comprising an anvil including projections extending therefrom
US11883026B2 (en) 2014-04-16 2024-01-30 Cilag Gmbh International Fastener cartridge assemblies and staple retainer cover arrangements
US10010324B2 (en) 2014-04-16 2018-07-03 Ethicon Llc Fastener cartridge compromising fastener cavities including fastener control features
US11185330B2 (en) 2014-04-16 2021-11-30 Cilag Gmbh International Fastener cartridge assemblies and staple retainer cover arrangements
US11298134B2 (en) 2014-04-16 2022-04-12 Cilag Gmbh International Fastener cartridge comprising non-uniform fasteners
US10470768B2 (en) 2014-04-16 2019-11-12 Ethicon Llc Fastener cartridge including a layer attached thereto
US11517315B2 (en) 2014-04-16 2022-12-06 Cilag Gmbh International Fastener cartridges including extensions having different configurations
US9833241B2 (en) 2014-04-16 2017-12-05 Ethicon Llc Surgical fastener cartridges with driver stabilizing arrangements
US11382625B2 (en) 2014-04-16 2022-07-12 Cilag Gmbh International Fastener cartridge comprising non-uniform fasteners
US9844369B2 (en) 2014-04-16 2017-12-19 Ethicon Llc Surgical end effectors with firing element monitoring arrangements
US11925353B2 (en) 2014-04-16 2024-03-12 Cilag Gmbh International Surgical stapling instrument comprising internal passage between stapling cartridge and elongate channel
US11266409B2 (en) 2014-04-16 2022-03-08 Cilag Gmbh International Fastener cartridge comprising a sled including longitudinally-staggered ramps
US10561422B2 (en) 2014-04-16 2020-02-18 Ethicon Llc Fastener cartridge comprising deployable tissue engaging members
US11918222B2 (en) 2014-04-16 2024-03-05 Cilag Gmbh International Stapling assembly having firing member viewing windows
US10327776B2 (en) 2014-04-16 2019-06-25 Ethicon Llc Surgical stapling buttresses and adjunct materials
US9877721B2 (en) 2014-04-16 2018-01-30 Ethicon Llc Fastener cartridge comprising tissue control features
US11382627B2 (en) 2014-04-16 2022-07-12 Cilag Gmbh International Surgical stapling assembly comprising a firing member including a lateral extension
US10299792B2 (en) 2014-04-16 2019-05-28 Ethicon Llc Fastener cartridge comprising non-uniform fasteners
US11596406B2 (en) 2014-04-16 2023-03-07 Cilag Gmbh International Fastener cartridges including extensions having different configurations
US11717294B2 (en) 2014-04-16 2023-08-08 Cilag Gmbh International End effector arrangements comprising indicators
US10045781B2 (en) 2014-06-13 2018-08-14 Ethicon Llc Closure lockout systems for surgical instruments
US11717297B2 (en) 2014-09-05 2023-08-08 Cilag Gmbh International Smart cartridge wake up operation and data retention
US11653918B2 (en) 2014-09-05 2023-05-23 Cilag Gmbh International Local display of tissue parameter stabilization
US10016199B2 (en) 2014-09-05 2018-07-10 Ethicon Llc Polarity of hall magnet to identify cartridge type
US10905423B2 (en) 2014-09-05 2021-02-02 Ethicon Llc Smart cartridge wake up operation and data retention
US11076854B2 (en) 2014-09-05 2021-08-03 Cilag Gmbh International Smart cartridge wake up operation and data retention
US10111679B2 (en) 2014-09-05 2018-10-30 Ethicon Llc Circuitry and sensors for powered medical device
US9788836B2 (en) 2014-09-05 2017-10-17 Ethicon Llc Multiple motor control for powered medical device
US10135242B2 (en) 2014-09-05 2018-11-20 Ethicon Llc Smart cartridge wake up operation and data retention
US11389162B2 (en) 2014-09-05 2022-07-19 Cilag Gmbh International Smart cartridge wake up operation and data retention
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US11071545B2 (en) 2014-09-05 2021-07-27 Cilag Gmbh International Smart cartridge wake up operation and data retention
US9757128B2 (en) 2014-09-05 2017-09-12 Ethicon Llc Multiple sensors with one sensor affecting a second sensor's output or interpretation
US11406386B2 (en) 2014-09-05 2022-08-09 Cilag Gmbh International End effector including magnetic and impedance sensors
US9724094B2 (en) 2014-09-05 2017-08-08 Ethicon Llc Adjunct with integrated sensors to quantify tissue compression
US9737301B2 (en) 2014-09-05 2017-08-22 Ethicon Llc Monitoring device degradation based on component evaluation
US11284898B2 (en) 2014-09-18 2022-03-29 Cilag Gmbh International Surgical instrument including a deployable knife
US9801627B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Fastener cartridge for creating a flexible staple line
US10327764B2 (en) 2014-09-26 2019-06-25 Ethicon Llc Method for creating a flexible staple line
US10206677B2 (en) 2014-09-26 2019-02-19 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
US10426476B2 (en) 2014-09-26 2019-10-01 Ethicon Llc Circular fastener cartridges for applying radially expandable fastener lines
US11202633B2 (en) 2014-09-26 2021-12-21 Cilag Gmbh International Surgical stapling buttresses and adjunct materials
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
US10751053B2 (en) 2014-09-26 2020-08-25 Ethicon Llc Fastener cartridges for applying expandable fastener lines
US9801628B2 (en) 2014-09-26 2017-10-31 Ethicon Llc Surgical staple and driver arrangements for staple cartridges
US10426477B2 (en) 2014-09-26 2019-10-01 Ethicon Llc Staple cartridge assembly including a ramp
US10736630B2 (en) 2014-10-13 2020-08-11 Ethicon Llc Staple cartridge
US10076325B2 (en) 2014-10-13 2018-09-18 Ethicon Llc Surgical stapling apparatus comprising a tissue stop
US11185325B2 (en) 2014-10-16 2021-11-30 Cilag Gmbh International End effector including different tissue gaps
US10052104B2 (en) 2014-10-16 2018-08-21 Ethicon Llc Staple cartridge comprising a tissue thickness compensator
US11918210B2 (en) 2014-10-16 2024-03-05 Cilag Gmbh International Staple cartridge comprising a cartridge body including a plurality of wells
US11701114B2 (en) 2014-10-16 2023-07-18 Cilag Gmbh International Staple cartridge
US10905418B2 (en) 2014-10-16 2021-02-02 Ethicon Llc Staple cartridge comprising a tissue thickness compensator
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US11864760B2 (en) 2014-10-29 2024-01-09 Cilag Gmbh International Staple cartridges comprising driver arrangements
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11457918B2 (en) 2014-10-29 2022-10-04 Cilag Gmbh International Cartridge assemblies for surgical staplers
US11241229B2 (en) 2014-10-29 2022-02-08 Cilag Gmbh International Staple cartridges comprising driver arrangements
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US11337698B2 (en) 2014-11-06 2022-05-24 Cilag Gmbh International Staple cartridge comprising a releasable adjunct material
US10617417B2 (en) 2014-11-06 2020-04-14 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
US11382628B2 (en) 2014-12-10 2022-07-12 Cilag Gmbh International Articulatable surgical instrument system
US11547403B2 (en) 2014-12-18 2023-01-10 Cilag Gmbh International Surgical instrument having a laminate firing actuator and lateral buckling supports
US10117649B2 (en) 2014-12-18 2018-11-06 Ethicon Llc Surgical instrument assembly comprising a lockable articulation system
US11553911B2 (en) 2014-12-18 2023-01-17 Cilag Gmbh International Surgical instrument assembly comprising a flexible articulation system
US11399831B2 (en) 2014-12-18 2022-08-02 Cilag Gmbh International Drive arrangements for articulatable surgical instruments
US10188385B2 (en) 2014-12-18 2019-01-29 Ethicon Llc Surgical instrument system comprising lockable systems
US10806448B2 (en) 2014-12-18 2020-10-20 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10945728B2 (en) 2014-12-18 2021-03-16 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US11571207B2 (en) 2014-12-18 2023-02-07 Cilag Gmbh International Surgical system including lateral supports for a flexible drive member
US9968355B2 (en) 2014-12-18 2018-05-15 Ethicon Llc Surgical instruments with articulatable end effectors and improved firing beam support arrangements
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US9943309B2 (en) 2014-12-18 2018-04-17 Ethicon Llc Surgical instruments with articulatable end effectors and movable firing beam support arrangements
US10245027B2 (en) 2014-12-18 2019-04-02 Ethicon Llc Surgical instrument with an anvil that is selectively movable about a discrete non-movable axis relative to a staple cartridge
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US11678877B2 (en) 2014-12-18 2023-06-20 Cilag Gmbh International Surgical instrument including a flexible support configured to support a flexible firing member
US11812958B2 (en) 2014-12-18 2023-11-14 Cilag Gmbh International Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US11547404B2 (en) 2014-12-18 2023-01-10 Cilag Gmbh International Surgical instrument assembly comprising a flexible articulation system
US10004501B2 (en) 2014-12-18 2018-06-26 Ethicon Llc Surgical instruments with improved closure arrangements
US10695058B2 (en) 2014-12-18 2020-06-30 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US11517311B2 (en) 2014-12-18 2022-12-06 Cilag Gmbh International Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US11083453B2 (en) 2014-12-18 2021-08-10 Cilag Gmbh International Surgical stapling system including a flexible firing actuator and lateral buckling supports
US10743873B2 (en) 2014-12-18 2020-08-18 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10045779B2 (en) 2015-02-27 2018-08-14 Ethicon Llc Surgical instrument system comprising an inspection station
US9993258B2 (en) 2015-02-27 2018-06-12 Ethicon Llc Adaptable surgical instrument handle
US10226250B2 (en) 2015-02-27 2019-03-12 Ethicon Llc Modular stapling assembly
US10245028B2 (en) 2015-02-27 2019-04-02 Ethicon Llc Power adapter for a surgical instrument
US9931118B2 (en) 2015-02-27 2018-04-03 Ethicon Endo-Surgery, Llc Reinforced battery for a surgical instrument
US11744588B2 (en) 2015-02-27 2023-09-05 Cilag Gmbh International Surgical stapling instrument including a removably attachable battery pack
US10321907B2 (en) 2015-02-27 2019-06-18 Ethicon Llc System for monitoring whether a surgical instrument needs to be serviced
US11324506B2 (en) 2015-02-27 2022-05-10 Cilag Gmbh International Modular stapling assembly
US10159483B2 (en) 2015-02-27 2018-12-25 Ethicon Llc Surgical apparatus configured to track an end-of-life parameter
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US10182816B2 (en) 2015-02-27 2019-01-22 Ethicon Llc Charging system that enables emergency resolutions for charging a battery
US10180463B2 (en) 2015-02-27 2019-01-15 Ethicon Llc Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
US10206605B2 (en) 2015-03-06 2019-02-19 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10245033B2 (en) 2015-03-06 2019-04-02 Ethicon Llc Surgical instrument comprising a lockable battery housing
US10617412B2 (en) 2015-03-06 2020-04-14 Ethicon Llc System for detecting the mis-insertion of a staple cartridge into a surgical stapler
US11350843B2 (en) 2015-03-06 2022-06-07 Cilag Gmbh International Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10729432B2 (en) 2015-03-06 2020-08-04 Ethicon Llc Methods for operating a powered surgical instrument
US10052044B2 (en) 2015-03-06 2018-08-21 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US9808246B2 (en) 2015-03-06 2017-11-07 Ethicon Endo-Surgery, Llc Method of operating a powered surgical instrument
US9895148B2 (en) 2015-03-06 2018-02-20 Ethicon Endo-Surgery, Llc Monitoring speed control and precision incrementing of motor for powered surgical instruments
US9901342B2 (en) 2015-03-06 2018-02-27 Ethicon Endo-Surgery, Llc Signal and power communication system positioned on a rotatable shaft
US9924961B2 (en) 2015-03-06 2018-03-27 Ethicon Endo-Surgery, Llc Interactive feedback system for powered surgical instruments
US10772625B2 (en) 2015-03-06 2020-09-15 Ethicon Llc Signal and power communication system positioned on a rotatable shaft
US11826132B2 (en) 2015-03-06 2023-11-28 Cilag Gmbh International Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US10687806B2 (en) 2015-03-06 2020-06-23 Ethicon Llc Adaptive tissue compression techniques to adjust closure rates for multiple tissue types
US10966627B2 (en) 2015-03-06 2021-04-06 Ethicon Llc Time dependent evaluation of sensor data to determine stability, creep, and viscoelastic elements of measures
US11109859B2 (en) 2015-03-06 2021-09-07 Cilag Gmbh International Surgical instrument comprising a lockable battery housing
US10524787B2 (en) 2015-03-06 2020-01-07 Ethicon Llc Powered surgical instrument with parameter-based firing rate
US11426160B2 (en) 2015-03-06 2022-08-30 Cilag Gmbh International Smart sensors with local signal processing
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10531887B2 (en) 2015-03-06 2020-01-14 Ethicon Llc Powered surgical instrument including speed display
US11224423B2 (en) 2015-03-06 2022-01-18 Cilag Gmbh International Smart sensors with local signal processing
US10045776B2 (en) 2015-03-06 2018-08-14 Ethicon Llc Control techniques and sub-processor contained within modular shaft with select control processing from handle
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
US10390825B2 (en) 2015-03-31 2019-08-27 Ethicon Llc Surgical instrument with progressive rotary drive systems
US10433844B2 (en) 2015-03-31 2019-10-08 Ethicon Llc Surgical instrument with selectively disengageable threaded drive systems
US11918212B2 (en) 2015-03-31 2024-03-05 Cilag Gmbh International Surgical instrument with selectively disengageable drive systems
US10052102B2 (en) 2015-06-18 2018-08-21 Ethicon Llc Surgical end effectors with dual cam actuated jaw closing features
US10940292B2 (en) 2015-07-08 2021-03-09 Actuated Medical, Inc. Reduced force device for intravascular access and guidewire placement
US11058425B2 (en) 2015-08-17 2021-07-13 Ethicon Llc Implantable layers for a surgical instrument
US10835249B2 (en) 2015-08-17 2020-11-17 Ethicon Llc Implantable layers for a surgical instrument
US10617418B2 (en) 2015-08-17 2020-04-14 Ethicon Llc Implantable layers for a surgical instrument
US10098642B2 (en) 2015-08-26 2018-10-16 Ethicon Llc Surgical staples comprising features for improved fastening of tissue
US11219456B2 (en) 2015-08-26 2022-01-11 Cilag Gmbh International Surgical staple strips for permitting varying staple properties and enabling easy cartridge loading
US11051817B2 (en) 2015-08-26 2021-07-06 Cilag Gmbh International Method for forming a staple against an anvil of a surgical stapling instrument
US11103248B2 (en) 2015-08-26 2021-08-31 Cilag Gmbh International Surgical staples for minimizing staple roll
US10390829B2 (en) 2015-08-26 2019-08-27 Ethicon Llc Staples comprising a cover
US10517599B2 (en) 2015-08-26 2019-12-31 Ethicon Llc Staple cartridge assembly comprising staple cavities for providing better staple guidance
US11058426B2 (en) 2015-08-26 2021-07-13 Cilag Gmbh International Staple cartridge assembly comprising various tissue compression gaps and staple forming gaps
US10213203B2 (en) 2015-08-26 2019-02-26 Ethicon Llc Staple cartridge assembly without a bottom cover
US10357251B2 (en) 2015-08-26 2019-07-23 Ethicon Llc Surgical staples comprising hardness variations for improved fastening of tissue
US10166026B2 (en) 2015-08-26 2019-01-01 Ethicon Llc Staple cartridge assembly including features for controlling the rotation of staples when being ejected therefrom
US10980538B2 (en) 2015-08-26 2021-04-20 Ethicon Llc Surgical stapling configurations for curved and circular stapling instruments
US10470769B2 (en) 2015-08-26 2019-11-12 Ethicon Llc Staple cartridge assembly comprising staple alignment features on a firing member
US10433845B2 (en) 2015-08-26 2019-10-08 Ethicon Llc Surgical staple strips for permitting varying staple properties and enabling easy cartridge loading
US10188394B2 (en) 2015-08-26 2019-01-29 Ethicon Llc Staples configured to support an implantable adjunct
US10966724B2 (en) 2015-08-26 2021-04-06 Ethicon Llc Surgical staples comprising a guide
US11510675B2 (en) 2015-08-26 2022-11-29 Cilag Gmbh International Surgical end effector assembly including a connector strip interconnecting a plurality of staples
US10357252B2 (en) 2015-09-02 2019-07-23 Ethicon Llc Surgical staple configurations with camming surfaces located between portions supporting surgical staples
US11213295B2 (en) 2015-09-02 2022-01-04 Cilag Gmbh International Surgical staple configurations with camming surfaces located between portions supporting surgical staples
US10172619B2 (en) 2015-09-02 2019-01-08 Ethicon Llc Surgical staple driver arrays
US10238390B2 (en) 2015-09-02 2019-03-26 Ethicon Llc Surgical staple cartridges with driver arrangements for establishing herringbone staple patterns
US10314587B2 (en) 2015-09-02 2019-06-11 Ethicon Llc Surgical staple cartridge with improved staple driver configurations
US11382624B2 (en) 2015-09-02 2022-07-12 Cilag Gmbh International Surgical staple cartridge with improved staple driver configurations
US10251648B2 (en) 2015-09-02 2019-04-09 Ethicon Llc Surgical staple cartridge staple drivers with central support features
US11589868B2 (en) 2015-09-02 2023-02-28 Cilag Gmbh International Surgical staple configurations with camming surfaces located between portions supporting surgical staples
US11849946B2 (en) 2015-09-23 2023-12-26 Cilag Gmbh International Surgical stapler having downstream current-based motor control
US11026678B2 (en) 2015-09-23 2021-06-08 Cilag Gmbh International Surgical stapler having motor control based on an electrical parameter related to a motor current
US11490889B2 (en) 2015-09-23 2022-11-08 Cilag Gmbh International Surgical stapler having motor control based on an electrical parameter related to a motor current
US11344299B2 (en) 2015-09-23 2022-05-31 Cilag Gmbh International Surgical stapler having downstream current-based motor control
US10363036B2 (en) 2015-09-23 2019-07-30 Ethicon Llc Surgical stapler having force-based motor control
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10327769B2 (en) 2015-09-23 2019-06-25 Ethicon Llc Surgical stapler having motor control based on a drive system component
US10863986B2 (en) 2015-09-23 2020-12-15 Ethicon Llc Surgical stapler having downstream current-based motor control
US10076326B2 (en) 2015-09-23 2018-09-18 Ethicon Llc Surgical stapler having current mirror-based motor control
US10085751B2 (en) 2015-09-23 2018-10-02 Ethicon Llc Surgical stapler having temperature-based motor control
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US11076929B2 (en) 2015-09-25 2021-08-03 Cilag Gmbh International Implantable adjunct systems for determining adjunct skew
US10299878B2 (en) 2015-09-25 2019-05-28 Ethicon Llc Implantable adjunct systems for determining adjunct skew
US10932779B2 (en) 2015-09-30 2021-03-02 Ethicon Llc Compressible adjunct with crossing spacer fibers
US10172620B2 (en) 2015-09-30 2019-01-08 Ethicon Llc Compressible adjuncts with bonding nodes
US10327777B2 (en) 2015-09-30 2019-06-25 Ethicon Llc Implantable layer comprising plastically deformed fibers
US10736633B2 (en) 2015-09-30 2020-08-11 Ethicon Llc Compressible adjunct with looping members
US11690623B2 (en) 2015-09-30 2023-07-04 Cilag Gmbh International Method for applying an implantable layer to a fastener cartridge
US10307160B2 (en) 2015-09-30 2019-06-04 Ethicon Llc Compressible adjunct assemblies with attachment layers
US10561420B2 (en) 2015-09-30 2020-02-18 Ethicon Llc Tubular absorbable constructs
US11712244B2 (en) 2015-09-30 2023-08-01 Cilag Gmbh International Implantable layer with spacer fibers
US10524788B2 (en) 2015-09-30 2020-01-07 Ethicon Llc Compressible adjunct with attachment regions
US11553916B2 (en) 2015-09-30 2023-01-17 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US11793522B2 (en) 2015-09-30 2023-10-24 Cilag Gmbh International Staple cartridge assembly including a compressible adjunct
US10603039B2 (en) 2015-09-30 2020-03-31 Ethicon Llc Progressively releasable implantable adjunct for use with a surgical stapling instrument
US10285699B2 (en) 2015-09-30 2019-05-14 Ethicon Llc Compressible adjunct
US10478188B2 (en) 2015-09-30 2019-11-19 Ethicon Llc Implantable layer comprising a constricted configuration
US10271849B2 (en) 2015-09-30 2019-04-30 Ethicon Llc Woven constructs with interlocked standing fibers
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10433846B2 (en) 2015-09-30 2019-10-08 Ethicon Llc Compressible adjunct with crossing spacer fibers
US11903586B2 (en) 2015-09-30 2024-02-20 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10980539B2 (en) 2015-09-30 2021-04-20 Ethicon Llc Implantable adjunct comprising bonded layers
US11484309B2 (en) 2015-12-30 2022-11-01 Cilag Gmbh International Surgical stapling system comprising a controller configured to cause a motor to reset a firing sequence
US11129613B2 (en) 2015-12-30 2021-09-28 Cilag Gmbh International Surgical instruments with separable motors and motor control circuits
US11058422B2 (en) 2015-12-30 2021-07-13 Cilag Gmbh International Mechanisms for compensating for battery pack failure in powered surgical instruments
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US10265068B2 (en) 2015-12-30 2019-04-23 Ethicon Llc Surgical instruments with separable motors and motor control circuits
US11759208B2 (en) 2015-12-30 2023-09-19 Cilag Gmbh International Mechanisms for compensating for battery pack failure in powered surgical instruments
US10368865B2 (en) 2015-12-30 2019-08-06 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11083454B2 (en) 2015-12-30 2021-08-10 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10245030B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instruments with tensioning arrangements for cable driven articulation systems
US11523823B2 (en) 2016-02-09 2022-12-13 Cilag Gmbh International Surgical instruments with non-symmetrical articulation arrangements
US10433837B2 (en) 2016-02-09 2019-10-08 Ethicon Llc Surgical instruments with multiple link articulation arrangements
US10588625B2 (en) 2016-02-09 2020-03-17 Ethicon Llc Articulatable surgical instruments with off-axis firing beam arrangements
US10653413B2 (en) 2016-02-09 2020-05-19 Ethicon Llc Surgical instruments with an end effector that is highly articulatable relative to an elongate shaft assembly
US10470764B2 (en) 2016-02-09 2019-11-12 Ethicon Llc Surgical instruments with closure stroke reduction arrangements
US10413291B2 (en) 2016-02-09 2019-09-17 Ethicon Llc Surgical instrument articulation mechanism with slotted secondary constraint
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US11730471B2 (en) 2016-02-09 2023-08-22 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
US10245029B2 (en) 2016-02-09 2019-04-02 Ethicon Llc Surgical instrument with articulating and axially translatable end effector
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10258331B2 (en) 2016-02-12 2019-04-16 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11779336B2 (en) 2016-02-12 2023-10-10 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11344303B2 (en) 2016-02-12 2022-05-31 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11826045B2 (en) 2016-02-12 2023-11-28 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
US10376263B2 (en) 2016-04-01 2019-08-13 Ethicon Llc Anvil modification members for surgical staplers
US10617413B2 (en) 2016-04-01 2020-04-14 Ethicon Llc Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts
US20190115168A1 (en) * 2016-04-07 2019-04-18 Gyrus ACMI, Inc. d.b.a. Olympus Surgical Technolog America Electronic Switch Mechanism
US10755875B2 (en) * 2016-04-07 2020-08-25 Gyrus Acmi, Inc. Electronic switch mechanism
US11771454B2 (en) 2016-04-15 2023-10-03 Cilag Gmbh International Stapling assembly including a controller for monitoring a clamping laod
US11311292B2 (en) 2016-04-15 2022-04-26 Cilag Gmbh International Surgical instrument with detection sensors
US10456137B2 (en) 2016-04-15 2019-10-29 Ethicon Llc Staple formation detection mechanisms
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10335145B2 (en) 2016-04-15 2019-07-02 Ethicon Llc Modular surgical instrument with configurable operating mode
US11051810B2 (en) 2016-04-15 2021-07-06 Cilag Gmbh International Modular surgical instrument with configurable operating mode
US11026684B2 (en) 2016-04-15 2021-06-08 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11317910B2 (en) 2016-04-15 2022-05-03 Cilag Gmbh International Surgical instrument with detection sensors
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10405859B2 (en) 2016-04-15 2019-09-10 Ethicon Llc Surgical instrument with adjustable stop/start control during a firing motion
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US11350932B2 (en) 2016-04-15 2022-06-07 Cilag Gmbh International Surgical instrument with improved stop/start control during a firing motion
US11191545B2 (en) 2016-04-15 2021-12-07 Cilag Gmbh International Staple formation detection mechanisms
US11517306B2 (en) 2016-04-15 2022-12-06 Cilag Gmbh International Surgical instrument with detection sensors
US11179150B2 (en) 2016-04-15 2021-11-23 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US11284891B2 (en) 2016-04-15 2022-03-29 Cilag Gmbh International Surgical instrument with multiple program responses during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11642125B2 (en) 2016-04-15 2023-05-09 Cilag Gmbh International Robotic surgical system including a user interface and a control circuit
US11350928B2 (en) 2016-04-18 2022-06-07 Cilag Gmbh International Surgical instrument comprising a tissue thickness lockout and speed control system
US10368867B2 (en) 2016-04-18 2019-08-06 Ethicon Llc Surgical instrument comprising a lockout
US11147554B2 (en) 2016-04-18 2021-10-19 Cilag Gmbh International Surgical instrument system comprising a magnetic lockout
US10363037B2 (en) 2016-04-18 2019-07-30 Ethicon Llc Surgical instrument system comprising a magnetic lockout
US11559303B2 (en) 2016-04-18 2023-01-24 Cilag Gmbh International Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
US10433840B2 (en) 2016-04-18 2019-10-08 Ethicon Llc Surgical instrument comprising a replaceable cartridge jaw
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US11811253B2 (en) 2016-04-18 2023-11-07 Cilag Gmbh International Surgical robotic system with fault state detection configurations based on motor current draw
US10478181B2 (en) 2016-04-18 2019-11-19 Ethicon Llc Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments
US10426469B2 (en) 2016-04-18 2019-10-01 Ethicon Llc Surgical instrument comprising a primary firing lockout and a secondary firing lockout
US10542979B2 (en) 2016-06-24 2020-01-28 Ethicon Llc Stamped staples and staple cartridges using the same
US11000278B2 (en) 2016-06-24 2021-05-11 Ethicon Llc Staple cartridge comprising wire staples and stamped staples
US10893863B2 (en) 2016-06-24 2021-01-19 Ethicon Llc Staple cartridge comprising offset longitudinal staple rows
US11786246B2 (en) 2016-06-24 2023-10-17 Cilag Gmbh International Stapling system for use with wire staples and stamped staples
US10675024B2 (en) 2016-06-24 2020-06-09 Ethicon Llc Staple cartridge comprising overdriven staples
USD948043S1 (en) 2016-06-24 2022-04-05 Cilag Gmbh International Surgical fastener
USD896379S1 (en) 2016-06-24 2020-09-15 Ethicon Llc Surgical fastener cartridge
US10702270B2 (en) 2016-06-24 2020-07-07 Ethicon Llc Stapling system for use with wire staples and stamped staples
USD896380S1 (en) 2016-06-24 2020-09-15 Ethicon Llc Surgical fastener cartridge
USD894389S1 (en) 2016-06-24 2020-08-25 Ethicon Llc Surgical fastener
US11690619B2 (en) 2016-06-24 2023-07-04 Cilag Gmbh International Staple cartridge comprising staples having different geometries
USD847989S1 (en) 2016-06-24 2019-05-07 Ethicon Llc Surgical fastener cartridge
USD850617S1 (en) 2016-06-24 2019-06-04 Ethicon Llc Surgical fastener cartridge
US20200113580A1 (en) * 2016-09-28 2020-04-16 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Electromechanical Slider Valve Suction Controller
US10675026B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Methods of stapling tissue
US10667811B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Surgical stapling instruments and staple-forming anvils
US11096689B2 (en) 2016-12-21 2021-08-24 Cilag Gmbh International Shaft assembly comprising a lockout
US10448950B2 (en) 2016-12-21 2019-10-22 Ethicon Llc Surgical staplers with independently actuatable closing and firing systems
US11317913B2 (en) 2016-12-21 2022-05-03 Cilag Gmbh International Lockout arrangements for surgical end effectors and replaceable tool assemblies
US11350935B2 (en) 2016-12-21 2022-06-07 Cilag Gmbh International Surgical tool assemblies with closure stroke reduction features
US10639034B2 (en) 2016-12-21 2020-05-05 Ethicon Llc Surgical instruments with lockout arrangements for preventing firing system actuation unless an unspent staple cartridge is present
US10835247B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Lockout arrangements for surgical end effectors
US11350934B2 (en) 2016-12-21 2022-06-07 Cilag Gmbh International Staple forming pocket arrangement to accommodate different types of staples
US11766259B2 (en) 2016-12-21 2023-09-26 Cilag Gmbh International Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US11918215B2 (en) 2016-12-21 2024-03-05 Cilag Gmbh International Staple cartridge with array of staple pockets
US10639035B2 (en) 2016-12-21 2020-05-05 Ethicon Llc Surgical stapling instruments and replaceable tool assemblies thereof
US10624635B2 (en) 2016-12-21 2020-04-21 Ethicon Llc Firing members with non-parallel jaw engagement features for surgical end effectors
US10881401B2 (en) 2016-12-21 2021-01-05 Ethicon Llc Staple firing member comprising a missing cartridge and/or spent cartridge lockout
US10617414B2 (en) 2016-12-21 2020-04-14 Ethicon Llc Closure member arrangements for surgical instruments
US10610224B2 (en) 2016-12-21 2020-04-07 Ethicon Llc Lockout arrangements for surgical end effectors and replaceable tool assemblies
US11369376B2 (en) 2016-12-21 2022-06-28 Cilag Gmbh International Surgical stapling systems
US10813638B2 (en) 2016-12-21 2020-10-27 Ethicon Llc Surgical end effectors with expandable tissue stop arrangements
US10888322B2 (en) 2016-12-21 2021-01-12 Ethicon Llc Surgical instrument comprising a cutting member
US11134942B2 (en) 2016-12-21 2021-10-05 Cilag Gmbh International Surgical stapling instruments and staple-forming anvils
US11653917B2 (en) 2016-12-21 2023-05-23 Cilag Gmbh International Surgical stapling systems
US10893864B2 (en) 2016-12-21 2021-01-19 Ethicon Staple cartridges and arrangements of staples and staple cavities therein
US10485543B2 (en) 2016-12-21 2019-11-26 Ethicon Llc Anvil having a knife slot width
US10492785B2 (en) 2016-12-21 2019-12-03 Ethicon Llc Shaft assembly comprising a lockout
US10603036B2 (en) 2016-12-21 2020-03-31 Ethicon Llc Articulatable surgical instrument with independent pivotable linkage distal of an articulation lock
US10667809B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Staple cartridge and staple cartridge channel comprising windows defined therein
US10426471B2 (en) 2016-12-21 2019-10-01 Ethicon Llc Surgical instrument with multiple failure response modes
US10499914B2 (en) 2016-12-21 2019-12-10 Ethicon Llc Staple forming pocket arrangements
US10517596B2 (en) 2016-12-21 2019-12-31 Ethicon Llc Articulatable surgical instruments with articulation stroke amplification features
US10517595B2 (en) 2016-12-21 2019-12-31 Ethicon Llc Jaw actuated lock arrangements for preventing advancement of a firing member in a surgical end effector unless an unfired cartridge is installed in the end effector
US11571210B2 (en) 2016-12-21 2023-02-07 Cilag Gmbh International Firing assembly comprising a multiple failed-state fuse
US10588630B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical tool assemblies with closure stroke reduction features
US10588632B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical end effectors and firing members thereof
US11564688B2 (en) 2016-12-21 2023-01-31 Cilag Gmbh International Robotic surgical tool having a retraction mechanism
US10667810B2 (en) 2016-12-21 2020-06-02 Ethicon Llc Closure members with cam surface arrangements for surgical instruments with separate and distinct closure and firing systems
US10856868B2 (en) 2016-12-21 2020-12-08 Ethicon Llc Firing member pin configurations
US11090048B2 (en) 2016-12-21 2021-08-17 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US11849948B2 (en) 2016-12-21 2023-12-26 Cilag Gmbh International Method for resetting a fuse of a surgical instrument shaft
US11497499B2 (en) 2016-12-21 2022-11-15 Cilag Gmbh International Articulatable surgical stapling instruments
US10588631B2 (en) 2016-12-21 2020-03-17 Ethicon Llc Surgical instruments with positive jaw opening features
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
US10779823B2 (en) 2016-12-21 2020-09-22 Ethicon Llc Firing member pin angle
US10675025B2 (en) 2016-12-21 2020-06-09 Ethicon Llc Shaft assembly comprising separately actuatable and retractable systems
US10524789B2 (en) 2016-12-21 2020-01-07 Ethicon Llc Laterally actuatable articulation lock arrangements for locking an end effector of a surgical instrument in an articulated configuration
US11684367B2 (en) 2016-12-21 2023-06-27 Cilag Gmbh International Stepped assembly having and end-of-life indicator
US10905422B2 (en) 2016-12-21 2021-02-02 Ethicon Llc Surgical instrument for use with a robotic surgical system
US10918385B2 (en) 2016-12-21 2021-02-16 Ethicon Llc Surgical system comprising a firing member rotatable into an articulation state to articulate an end effector of the surgical system
US10682138B2 (en) 2016-12-21 2020-06-16 Ethicon Llc Bilaterally asymmetric staple forming pocket pairs
US10582928B2 (en) 2016-12-21 2020-03-10 Ethicon Llc Articulation lock arrangements for locking an end effector in an articulated position in response to actuation of a jaw closure system
US10758230B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument with primary and safety processors
US10758229B2 (en) 2016-12-21 2020-09-01 Ethicon Llc Surgical instrument comprising improved jaw control
US10537325B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Staple forming pocket arrangement to accommodate different types of staples
US11160553B2 (en) 2016-12-21 2021-11-02 Cilag Gmbh International Surgical stapling systems
US10945727B2 (en) 2016-12-21 2021-03-16 Ethicon Llc Staple cartridge with deformable driver retention features
US10687810B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Stepped staple cartridge with tissue retention and gap setting features
US10959727B2 (en) 2016-12-21 2021-03-30 Ethicon Llc Articulatable surgical end effector with asymmetric shaft arrangement
US11160551B2 (en) 2016-12-21 2021-11-02 Cilag Gmbh International Articulatable surgical stapling instruments
US10736629B2 (en) 2016-12-21 2020-08-11 Ethicon Llc Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems
US10973516B2 (en) 2016-12-21 2021-04-13 Ethicon Llc Surgical end effectors and adaptable firing members therefor
US10980536B2 (en) 2016-12-21 2021-04-20 Ethicon Llc No-cartridge and spent cartridge lockout arrangements for surgical staplers
US10537324B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Stepped staple cartridge with asymmetrical staples
US11701115B2 (en) 2016-12-21 2023-07-18 Cilag Gmbh International Methods of stapling tissue
US10568626B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaw opening features for increasing a jaw opening distance
US10687809B2 (en) 2016-12-21 2020-06-23 Ethicon Llc Surgical staple cartridge with movable camming member configured to disengage firing member lockout features
US11224428B2 (en) 2016-12-21 2022-01-18 Cilag Gmbh International Surgical stapling systems
US10542982B2 (en) 2016-12-21 2020-01-28 Ethicon Llc Shaft assembly comprising first and second articulation lockouts
US10993715B2 (en) 2016-12-21 2021-05-04 Ethicon Llc Staple cartridge comprising staples with different clamping breadths
US10568625B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Staple cartridges and arrangements of staples and staple cavities therein
US11000276B2 (en) 2016-12-21 2021-05-11 Ethicon Llc Stepped staple cartridge with asymmetrical staples
US10695055B2 (en) 2016-12-21 2020-06-30 Ethicon Llc Firing assembly comprising a lockout
US10898186B2 (en) 2016-12-21 2021-01-26 Ethicon Llc Staple forming pocket arrangements comprising primary sidewalls and pocket sidewalls
US10835245B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot
US10568624B2 (en) 2016-12-21 2020-02-25 Ethicon Llc Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems
US11179155B2 (en) 2016-12-21 2021-11-23 Cilag Gmbh International Anvil arrangements for surgical staplers
US11766260B2 (en) 2016-12-21 2023-09-26 Cilag Gmbh International Methods of stapling tissue
US11191540B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Protective cover arrangements for a joint interface between a movable jaw and actuator shaft of a surgical instrument
US11191539B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system
US11191543B2 (en) 2016-12-21 2021-12-07 Cilag Gmbh International Assembly comprising a lock
US11759271B2 (en) 2017-04-28 2023-09-19 Stryker Corporation System and method for indicating mapping of console-based surgical systems
US11071554B2 (en) 2017-06-20 2021-07-27 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements
US11090046B2 (en) 2017-06-20 2021-08-17 Cilag Gmbh International Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument
US10624633B2 (en) 2017-06-20 2020-04-21 Ethicon Llc Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10646220B2 (en) 2017-06-20 2020-05-12 Ethicon Llc Systems and methods for controlling displacement member velocity for a surgical instrument
USD890784S1 (en) 2017-06-20 2020-07-21 Ethicon Llc Display panel with changeable graphical user interface
US11213302B2 (en) 2017-06-20 2022-01-04 Cilag Gmbh International Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10881396B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Surgical instrument with variable duration trigger arrangement
US10888321B2 (en) 2017-06-20 2021-01-12 Ethicon Llc Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument
US10327767B2 (en) 2017-06-20 2019-06-25 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10813639B2 (en) 2017-06-20 2020-10-27 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
USD879809S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with changeable graphical user interface
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US10980537B2 (en) 2017-06-20 2021-04-20 Ethicon Llc Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations
US11793513B2 (en) 2017-06-20 2023-10-24 Cilag Gmbh International Systems and methods for controlling motor speed according to user input for a surgical instrument
USD879808S1 (en) 2017-06-20 2020-03-31 Ethicon Llc Display panel with graphical user interface
US10368864B2 (en) 2017-06-20 2019-08-06 Ethicon Llc Systems and methods for controlling displaying motor velocity for a surgical instrument
US10595882B2 (en) 2017-06-20 2020-03-24 Ethicon Llc Methods for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US11672532B2 (en) 2017-06-20 2023-06-13 Cilag Gmbh International Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US11871939B2 (en) 2017-06-20 2024-01-16 Cilag Gmbh International Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10390841B2 (en) 2017-06-20 2019-08-27 Ethicon Llc Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation
US10772629B2 (en) 2017-06-27 2020-09-15 Ethicon Llc Surgical anvil arrangements
US11090049B2 (en) 2017-06-27 2021-08-17 Cilag Gmbh International Staple forming pocket arrangements
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10856869B2 (en) 2017-06-27 2020-12-08 Ethicon Llc Surgical anvil arrangements
US11766258B2 (en) 2017-06-27 2023-09-26 Cilag Gmbh International Surgical anvil arrangements
US11266405B2 (en) 2017-06-27 2022-03-08 Cilag Gmbh International Surgical anvil manufacturing methods
US10631859B2 (en) 2017-06-27 2020-04-28 Ethicon Llc Articulation systems for surgical instruments
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US11141154B2 (en) 2017-06-27 2021-10-12 Cilag Gmbh International Surgical end effectors and anvils
US11696759B2 (en) 2017-06-28 2023-07-11 Cilag Gmbh International Surgical stapling instruments comprising shortened staple cartridge noses
US11020114B2 (en) 2017-06-28 2021-06-01 Cilag Gmbh International Surgical instruments with articulatable end effector with axially shortened articulation joint configurations
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
US11478242B2 (en) 2017-06-28 2022-10-25 Cilag Gmbh International Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw
US10786253B2 (en) 2017-06-28 2020-09-29 Ethicon Llc Surgical end effectors with improved jaw aperture arrangements
US10758232B2 (en) 2017-06-28 2020-09-01 Ethicon Llc Surgical instrument with positive jaw opening features
USD851762S1 (en) 2017-06-28 2019-06-18 Ethicon Llc Anvil
US11389161B2 (en) 2017-06-28 2022-07-19 Cilag Gmbh International Surgical instrument comprising selectively actuatable rotatable couplers
US10639037B2 (en) 2017-06-28 2020-05-05 Ethicon Llc Surgical instrument with axially movable closure member
US11000279B2 (en) 2017-06-28 2021-05-11 Ethicon Llc Surgical instrument comprising an articulation system ratio
US11826048B2 (en) 2017-06-28 2023-11-28 Cilag Gmbh International Surgical instrument comprising selectively actuatable rotatable couplers
US11259805B2 (en) 2017-06-28 2022-03-01 Cilag Gmbh International Surgical instrument comprising firing member supports
US11484310B2 (en) 2017-06-28 2022-11-01 Cilag Gmbh International Surgical instrument comprising a shaft including a closure tube profile
USD854151S1 (en) 2017-06-28 2019-07-16 Ethicon Llc Surgical instrument shaft
US10211586B2 (en) 2017-06-28 2019-02-19 Ethicon Llc Surgical shaft assemblies with watertight housings
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
US11083455B2 (en) 2017-06-28 2021-08-10 Cilag Gmbh International Surgical instrument comprising an articulation system ratio
US10695057B2 (en) 2017-06-28 2020-06-30 Ethicon Llc Surgical instrument lockout arrangement
US11642128B2 (en) 2017-06-28 2023-05-09 Cilag Gmbh International Method for articulating a surgical instrument
US10716614B2 (en) 2017-06-28 2020-07-21 Ethicon Llc Surgical shaft assemblies with slip ring assemblies with increased contact pressure
US11058424B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical instrument comprising an offset articulation joint
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US11246592B2 (en) 2017-06-28 2022-02-15 Cilag Gmbh International Surgical instrument comprising an articulation system lockable to a frame
US10588633B2 (en) 2017-06-28 2020-03-17 Ethicon Llc Surgical instruments with open and closable jaws and axially movable firing member that is initially parked in close proximity to the jaws prior to firing
US10903685B2 (en) 2017-06-28 2021-01-26 Ethicon Llc Surgical shaft assemblies with slip ring assemblies forming capacitive channels
US11678880B2 (en) 2017-06-28 2023-06-20 Cilag Gmbh International Surgical instrument comprising a shaft including a housing arrangement
US11529140B2 (en) 2017-06-28 2022-12-20 Cilag Gmbh International Surgical instrument lockout arrangement
USD869655S1 (en) 2017-06-28 2019-12-10 Ethicon Llc Surgical fastener cartridge
US10779824B2 (en) 2017-06-28 2020-09-22 Ethicon Llc Surgical instrument comprising an articulation system lockable by a closure system
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
US10898183B2 (en) 2017-06-29 2021-01-26 Ethicon Llc Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing
US11890005B2 (en) 2017-06-29 2024-02-06 Cilag Gmbh International Methods for closed loop velocity control for robotic surgical instrument
US10398434B2 (en) 2017-06-29 2019-09-03 Ethicon Llc Closed loop velocity control of closure member for robotic surgical instrument
US11007022B2 (en) 2017-06-29 2021-05-18 Ethicon Llc Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument
US10258418B2 (en) 2017-06-29 2019-04-16 Ethicon Llc System for controlling articulation forces
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
USD907647S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US10796471B2 (en) 2017-09-29 2020-10-06 Ethicon Llc Systems and methods of displaying a knife position for a surgical instrument
USD917500S1 (en) 2017-09-29 2021-04-27 Ethicon Llc Display screen or portion thereof with graphical user interface
US10765429B2 (en) 2017-09-29 2020-09-08 Ethicon Llc Systems and methods for providing alerts according to the operational state of a surgical instrument
US10729501B2 (en) 2017-09-29 2020-08-04 Ethicon Llc Systems and methods for language selection of a surgical instrument
US11399829B2 (en) 2017-09-29 2022-08-02 Cilag Gmbh International Systems and methods of initiating a power shutdown mode for a surgical instrument
USD907648S1 (en) 2017-09-29 2021-01-12 Ethicon Llc Display screen or portion thereof with animated graphical user interface
US11134944B2 (en) 2017-10-30 2021-10-05 Cilag Gmbh International Surgical stapler knife motion controls
US11090075B2 (en) 2017-10-30 2021-08-17 Cilag Gmbh International Articulation features for surgical end effector
US11478244B2 (en) 2017-10-31 2022-10-25 Cilag Gmbh International Cartridge body design with force reduction based on firing completion
US10779903B2 (en) 2017-10-31 2020-09-22 Ethicon Llc Positive shaft rotation lock activated by jaw closure
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
US11006955B2 (en) 2017-12-15 2021-05-18 Ethicon Llc End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments
US11071543B2 (en) 2017-12-15 2021-07-27 Cilag Gmbh International Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges
US11033267B2 (en) 2017-12-15 2021-06-15 Ethicon Llc Systems and methods of controlling a clamping member firing rate of a surgical instrument
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10869666B2 (en) 2017-12-15 2020-12-22 Ethicon Llc Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument
US10779825B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments
US10743875B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member
US10743874B2 (en) 2017-12-15 2020-08-18 Ethicon Llc Sealed adapters for use with electromechanical surgical instruments
US10966718B2 (en) 2017-12-15 2021-04-06 Ethicon Llc Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments
US10687813B2 (en) 2017-12-15 2020-06-23 Ethicon Llc Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments
US11197670B2 (en) 2017-12-15 2021-12-14 Cilag Gmbh International Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed
US11896222B2 (en) 2017-12-15 2024-02-13 Cilag Gmbh International Methods of operating surgical end effectors
US10828033B2 (en) 2017-12-15 2020-11-10 Ethicon Llc Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto
US10716565B2 (en) 2017-12-19 2020-07-21 Ethicon Llc Surgical instruments with dual articulation drivers
US11284953B2 (en) 2017-12-19 2022-03-29 Cilag Gmbh International Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US11020112B2 (en) 2017-12-19 2021-06-01 Ethicon Llc Surgical tools configured for interchangeable use with different controller interfaces
US10729509B2 (en) 2017-12-19 2020-08-04 Ethicon Llc Surgical instrument comprising closure and firing locking mechanism
USD910847S1 (en) 2017-12-19 2021-02-16 Ethicon Llc Surgical instrument assembly
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
US11364027B2 (en) 2017-12-21 2022-06-21 Cilag Gmbh International Surgical instrument comprising speed control
US11883019B2 (en) 2017-12-21 2024-01-30 Cilag Gmbh International Stapling instrument comprising a staple feeding system
US11849939B2 (en) 2017-12-21 2023-12-26 Cilag Gmbh International Continuous use self-propelled stapling instrument
US11337691B2 (en) 2017-12-21 2022-05-24 Cilag Gmbh International Surgical instrument configured to determine firing path
US11576668B2 (en) 2017-12-21 2023-02-14 Cilag Gmbh International Staple instrument comprising a firing path display
US10743868B2 (en) 2017-12-21 2020-08-18 Ethicon Llc Surgical instrument comprising a pivotable distal head
US10682134B2 (en) 2017-12-21 2020-06-16 Ethicon Llc Continuous use self-propelled stapling instrument
US11076853B2 (en) 2017-12-21 2021-08-03 Cilag Gmbh International Systems and methods of displaying a knife position during transection for a surgical instrument
US11129680B2 (en) 2017-12-21 2021-09-28 Cilag Gmbh International Surgical instrument comprising a projector
US11369368B2 (en) 2017-12-21 2022-06-28 Cilag Gmbh International Surgical instrument comprising synchronized drive systems
US11751867B2 (en) 2017-12-21 2023-09-12 Cilag Gmbh International Surgical instrument comprising sequenced systems
US11179152B2 (en) 2017-12-21 2021-11-23 Cilag Gmbh International Surgical instrument comprising a tissue grasping system
US11179151B2 (en) 2017-12-21 2021-11-23 Cilag Gmbh International Surgical instrument comprising a display
US11583274B2 (en) 2017-12-21 2023-02-21 Cilag Gmbh International Self-guiding stapling instrument
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US11065030B2 (en) * 2018-01-02 2021-07-20 Boston Scientific Limited Atherectomy system
US20210322052A1 (en) * 2018-01-02 2021-10-21 Boston Scientific Limited Atherectomy system
JP2021509081A (en) * 2018-01-02 2021-03-18 ボストン サイエンティフィック リミテッド Atherosclerosis system
USD914878S1 (en) 2018-08-20 2021-03-30 Ethicon Llc Surgical instrument anvil
US10779821B2 (en) 2018-08-20 2020-09-22 Ethicon Llc Surgical stapler anvils with tissue stop features configured to avoid tissue pinch
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US10912559B2 (en) 2018-08-20 2021-02-09 Ethicon Llc Reinforced deformable anvil tip for surgical stapler anvil
US10856870B2 (en) 2018-08-20 2020-12-08 Ethicon Llc Switching arrangements for motor powered articulatable surgical instruments
US11045192B2 (en) 2018-08-20 2021-06-29 Cilag Gmbh International Fabricating techniques for surgical stapler anvils
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
US10842492B2 (en) 2018-08-20 2020-11-24 Ethicon Llc Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system
US11083458B2 (en) 2018-08-20 2021-08-10 Cilag Gmbh International Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions
US11291440B2 (en) 2018-08-20 2022-04-05 Cilag Gmbh International Method for operating a powered articulatable surgical instrument
US11253256B2 (en) 2018-08-20 2022-02-22 Cilag Gmbh International Articulatable motor powered surgical instruments with dedicated articulation motor arrangements
US11039834B2 (en) 2018-08-20 2021-06-22 Cilag Gmbh International Surgical stapler anvils with staple directing protrusions and tissue stability features
US11931032B2 (en) 2018-12-28 2024-03-19 Cilag Gmbh International Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11147551B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
US11172929B2 (en) 2019-03-25 2021-11-16 Cilag Gmbh International Articulation drive arrangements for surgical systems
US11147553B2 (en) 2019-03-25 2021-10-19 Cilag Gmbh International Firing drive arrangements for surgical systems
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US20200397439A1 (en) * 2019-06-21 2020-12-24 Covidien Lp Reload assembly injection molded strain gauge
US11690624B2 (en) * 2019-06-21 2023-07-04 Covidien Lp Reload assembly injection molded strain gauge
US11051807B2 (en) 2019-06-28 2021-07-06 Cilag Gmbh International Packaging assembly including a particulate trap
US11246678B2 (en) 2019-06-28 2022-02-15 Cilag Gmbh International Surgical stapling system having a frangible RFID tag
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11219455B2 (en) 2019-06-28 2022-01-11 Cilag Gmbh International Surgical instrument including a lockout key
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11553919B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11241235B2 (en) 2019-06-28 2022-02-08 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11224497B2 (en) 2019-06-28 2022-01-18 Cilag Gmbh International Surgical systems with multiple RFID tags
US11259803B2 (en) 2019-06-28 2022-03-01 Cilag Gmbh International Surgical stapling system having an information encryption protocol
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11350938B2 (en) 2019-06-28 2022-06-07 Cilag Gmbh International Surgical instrument comprising an aligned rfid sensor
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11684369B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Method of using multiple RFID chips with a surgical assembly
US11744593B2 (en) 2019-06-28 2023-09-05 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11304696B2 (en) 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11931033B2 (en) 2019-12-19 2024-03-19 Cilag Gmbh International Staple cartridge comprising a latch lockout
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11234698B2 (en) 2019-12-19 2022-02-01 Cilag Gmbh International Stapling system comprising a clamp lockout and a firing lockout
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
US11864756B2 (en) 2020-07-28 2024-01-09 Cilag Gmbh International Surgical instruments with flexible ball chain drive arrangements
US11857182B2 (en) 2020-07-28 2024-01-02 Cilag Gmbh International Surgical instruments with combination function articulation joint arrangements
US11826013B2 (en) 2020-07-28 2023-11-28 Cilag Gmbh International Surgical instruments with firing member closure features
US11660090B2 (en) 2020-07-28 2023-05-30 Cllag GmbH International Surgical instruments with segmented flexible drive arrangements
US11737748B2 (en) 2020-07-28 2023-08-29 Cilag Gmbh International Surgical instruments with double spherical articulation joints with pivotable links
US11883024B2 (en) 2020-07-28 2024-01-30 Cilag Gmbh International Method of operating a surgical instrument
US11638582B2 (en) 2020-07-28 2023-05-02 Cilag Gmbh International Surgical instruments with torsion spine drive arrangements
US11871925B2 (en) 2020-07-28 2024-01-16 Cilag Gmbh International Surgical instruments with dual spherical articulation joint arrangements
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
USD1018577S1 (en) 2020-11-11 2024-03-19 Cilag Gmbh International Display screen or portion thereof with a graphical user interface for a surgical instrument
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US11931034B2 (en) 2021-01-12 2024-03-19 Cilag Gmbh International Surgical stapling instruments with smart staple cartridges
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11723662B2 (en) 2021-05-28 2023-08-15 Cilag Gmbh International Stapling instrument comprising an articulation control display
US11826047B2 (en) 2021-05-28 2023-11-28 Cilag Gmbh International Stapling instrument comprising jaw mounts
US11918217B2 (en) 2021-05-28 2024-03-05 Cilag Gmbh International Stapling instrument comprising a staple cartridge insertion stop
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11931028B2 (en) 2022-02-03 2024-03-19 Cilag Gmbh International Surgical instrument with multiple program responses during a firing motion
US11931031B2 (en) 2022-05-27 2024-03-19 Cilag Gmbh International Staple cartridge comprising a deck including an upper surface and a lower surface
US11931038B2 (en) 2022-10-03 2024-03-19 Cilag Gmbh International Cartridge assemblies for surgical staplers

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